Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.23 / $1,000.00 / $2,812.00	Facility		$66.23	$1,000.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.97 / $56.06 / $66.23	Professional		$44.97	$56.06	$66.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.28 / $71.28 / $71.28	Professional		$71.28	$71.28	$71.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.03 / $60.92 / $73.48	Professional		$46.03	$60.92	$73.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.88 / $70.88 / $70.88	Facility		$70.88	$70.88	$70.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $68.95 / $71.70 / $130.25	Professional		$68.95	$71.70	$130.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.52 / $90.67 / $113.38	Professional		$76.52	$90.67	$113.38
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $81.97 / $81.97 / $81.97	Professional		$81.97	$81.97	$81.97
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $328.00 / $858.00	Facility		$130.00	$328.00	$858.00
United Facility/Professional Professional Modifier Low / Median / High Price $53.86 / $78.90 / $114.89	Professional		$53.86	$78.90	$114.89