Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.29 / $724.04 / $2,493.00	Facility		$112.29	$724.04	$2,493.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $79.62 / $93.48 / $105.76	Facility	54	$79.62	$93.48	$105.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.96 / $106.16 / $197.42	Professional		$82.96	$106.16	$197.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.75 / $171.27 / $179.67	Professional		$151.75	$171.27	$179.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $183.66 / $183.66 / $220.39	Facility		$183.66	$183.66	$220.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.37 / $138.13 / $163.66	Professional		$104.37	$138.13	$163.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $121.55 / $121.55 / $121.55	Professional		$121.55	$121.55	$121.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $146.88 / $146.88 / $146.88	Facility		$146.88	$146.88	$146.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.74 / $150.19 / $187.19	Professional		$86.74	$150.19	$187.19
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $196.96 / $206.62 / $206.62	Professional		$196.96	$206.62	$206.62
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $337.79 / $768.00	Facility		$130.00	$337.79	$768.00
United Facility/Professional Professional Modifier Low / Median / High Price $96.40 / $124.15 / $217.98	Professional		$96.40	$124.15	$217.98