Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $503.29 / $503.29 / $503.29	Facility		$503.29	$503.29	$503.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $503.29 / $503.29 / $3,351.96	Professional		$503.29	$503.29	$3,351.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $502.94 / $502.94 / $502.94	Professional		$502.94	$502.94	$502.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,905.67 / $3,905.67 / $5,114.56	Facility		$3,905.67	$3,905.67	$5,114.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.50 / $1,011.75 / $1,437.75	Professional		$106.50	$1,011.75	$1,437.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $390.00 / $390.00 / $397.80	Facility		$390.00	$390.00	$397.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $390.00 / $390.00 / $397.80	Professional		$390.00	$390.00	$397.80
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $503.29 / $789.53 / $819.19	Professional		$503.29	$789.53	$819.19