Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $533.73 / $1,181.00 / $3,109.00	Facility		$533.73	$1,181.00	$3,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $362.17 / $510.39 / $646.78	Professional		$362.17	$510.39	$646.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $644.21 / $644.21 / $644.21	Professional		$644.21	$644.21	$644.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,150.23 / $2,150.23 / $2,580.29	Facility		$2,150.23	$2,150.23	$2,580.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $481.10 / $636.75 / $823.81	Professional		$481.10	$636.75	$823.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,832.32 / $1,832.32 / $1,832.32	Facility		$1,832.32	$1,832.32	$1,832.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $438.17 / $704.54 / $992.42	Professional		$438.17	$704.54	$992.42
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $740.84 / $740.84 / $740.84	Professional		$740.84	$740.84	$740.84
United Facility/Professional Facility Modifier Low / Median / High Price $980.00 / $1,650.00 / $4,064.00	Facility		$980.00	$1,650.00	$4,064.00
United Facility/Professional Professional Modifier Low / Median / High Price $505.85 / $618.79 / $1,048.63	Professional		$505.85	$618.79	$1,048.63