Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.38 / $975.00 / $2,445.00	Facility		$136.38	$975.00	$2,445.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $41.12 / $41.12 / $68.19	Facility	52	$41.12	$41.12	$68.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.04 / $99.39 / $136.38	Professional		$66.04	$99.39	$136.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.42 / $178.39 / $273.08	Professional		$100.42	$178.39	$273.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $660.03 / $660.03 / $792.04	Facility		$660.03	$660.03	$792.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.01 / $98.55 / $162.16	Professional		$67.01	$98.55	$162.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $104.19 / $104.19 / $104.19	Facility		$104.19	$104.19	$104.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $148.97 / $154.93 / $278.70	Professional		$148.97	$154.93	$278.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.23 / $167.11 / $224.88	Professional		$112.23	$167.11	$224.88
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $115.48 / $205.15 / $238.45	Professional		$115.48	$205.15	$238.45
United Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $811.00 / $2,285.00	Facility		$330.00	$811.00	$2,285.00
United Facility/Professional Professional Modifier Low / Median / High Price $115.23 / $161.49 / $254.28	Professional		$115.23	$161.49	$254.28