Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $587.45 / $1,233.00 / $2,821.00	Facility		$587.45	$1,233.00	$2,821.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.55 / $573.69 / $827.77	Professional		$402.55	$573.69	$827.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $726.11 / $754.85 / $842.65	Professional		$726.11	$754.85	$842.65
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $1,132.27 / $1,132.27 / $1,132.27	Professional	50	$1,132.27	$1,132.27	$1,132.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $539.80 / $539.80 / $647.77	Facility		$539.80	$539.80	$647.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $527.54 / $698.22 / $775.80	Professional		$527.54	$698.22	$775.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $534.97 / $534.97 / $534.97	Facility		$534.97	$534.97	$534.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $480.77 / $830.20 / $974.93	Professional		$480.77	$830.20	$974.93
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $835.03 / $835.03 / $969.05	Professional		$835.03	$835.03	$969.05
United Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $765.00 / $1,574.00	Facility		$330.00	$765.00	$1,574.00
United Facility/Professional Professional Modifier Low / Median / High Price $456.64 / $656.64 / $988.40	Professional		$456.64	$656.64	$988.40