Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,179.51 / $2,179.51 / $2,179.51	Facility		$2,179.51	$2,179.51	$2,179.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,179.51 / $2,179.51 / $6,893.03	Professional		$2,179.51	$2,179.51	$6,893.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4,390.64 / $4,390.64 / $5,010.47	Professional		$4,390.64	$4,390.64	$5,010.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,489.30 / $3,294.66 / $3,660.73	Professional		$2,489.30	$3,294.66	$3,660.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,349.00 / $3,349.00 / $5,347.12	Facility		$3,349.00	$3,349.00	$5,347.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,304.80 / $2,821.49 / $2,928.58	Professional		$1,304.80	$2,821.49	$2,928.58
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $5,049.25 / $5,049.25 / $5,762.04	Professional		$5,049.25	$5,049.25	$5,762.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,565.00 / $2,828.00 / $6,992.00	Facility		$1,565.00	$2,828.00	$6,992.00
United Facility/Professional Professional Modifier Low / Median / High Price $277.19 / $2,834.11 / $4,782.42	Professional		$277.19	$2,834.11	$4,782.42