Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,174.90 / $2,041.74	Facility		$676.08	$1,174.90	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $776.25 / $1,412.54	Professional		$549.54	$776.25	$1,412.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $812.83 / $1,000.00 / $4,265.80	Professional	50	$812.83	$1,000.00	$4,265.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $467.74 / $912.01	Professional		$234.42	$467.74	$912.01
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $691.83 / $691.83 / $691.83	Professional	50	$691.83	$691.83	$691.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,951.21	Facility		$2,137.96	$2,137.96	$2,951.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $776.25 / $1,047.13	Professional		$630.96	$776.25	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $891.25 / $1,318.26	Professional		$549.54	$891.25	$1,318.26
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $537.03 / $1,047.13	Professional		$269.15	$537.03	$1,047.13
Qualchoice Facility/Professional Professional Modifier 50 Low / Median / High Price $794.33 / $794.33 / $794.33	Professional	50	$794.33	$794.33	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $2,041.74 / $6,760.83	Facility		$977.24	$2,041.74	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $724.44 / $1,202.26	Professional		$524.81	$724.44	$1,202.26