Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $2,089.30	Facility		$1,737.80	$1,737.80	$2,089.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,630.27 / $4,365.16	Professional		$1,737.80	$2,630.27	$4,365.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,630.78 / $3,630.78	Professional		$2,454.71	$3,630.78	$3,630.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $2,454.71	Professional		$1,862.09	$1,862.09	$2,454.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $12,302.69 / $12,302.69	Facility		$3,715.35	$12,302.69	$12,302.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $2,290.87 / $2,290.87	Professional		$1,047.13	$2,290.87	$2,290.87
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Professional		$4,168.69	$4,168.69	$4,168.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,290.87 / $5,623.41	Facility		$1,230.27	$2,290.87	$5,623.41
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $2,089.30 / $3,548.13	Professional		$281.84	$2,089.30	$3,548.13