Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,258.93 / $2,630.27	Facility		$489.78	$1,258.93	$2,630.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $2,344.23 / $5,495.41	Professional		$158.49	$2,344.23	$5,495.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,162.28 / $4,265.80	Facility		$2,691.53	$3,162.28	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $1,819.70 / $3,162.28	Professional		$123.03	$1,819.70	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $338.84 / $4,265.80	Professional		$169.82	$338.84	$4,265.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $4,265.80 / $6,918.31	Facility		$1,202.26	$4,265.80	$6,918.31
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $2,290.87 / $4,466.84	Professional		$147.91	$2,290.87	$4,466.84