Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,171.34 / $1,171.34 / $1,866.84	Facility		$1,171.34	$1,171.34	$1,866.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,171.34 / $1,336.08 / $1,866.84	Professional		$1,171.34	$1,336.08	$1,866.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,672.15 / $1,672.15 / $1,672.15	Professional		$1,672.15	$1,672.15	$1,672.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,619.73 / $1,619.73 / $1,619.73	Facility		$1,619.73	$1,619.73	$1,619.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,619.73 / $1,619.73 / $1,619.73	Professional		$1,619.73	$1,619.73	$1,619.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,306.07 / $1,306.07 / $1,306.07	Facility		$1,306.07	$1,306.07	$1,306.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $953.43 / $953.43 / $1,306.07	Professional		$953.43	$953.43	$1,306.07
United Facility/Professional Professional Modifier Low / Median / High Price $695.18 / $992.30 / $1,606.88	Professional		$695.18	$992.30	$1,606.88