Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.57 / $904.50 / $2,812.00	Facility		$112.57	$904.50	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.89 / $118.28 / $187.55	Professional		$82.89	$118.28	$187.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.72 / $162.72 / $162.72	Professional		$162.72	$162.72	$162.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $379.42 / $379.42 / $455.30	Facility		$379.42	$379.42	$455.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.11 / $151.68 / $200.75	Professional		$106.11	$151.68	$200.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $143.47 / $143.47 / $143.47	Professional		$143.47	$143.47	$143.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $282.37 / $282.37 / $282.37	Facility		$282.37	$282.37	$282.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.88 / $158.76 / $235.33	Professional		$92.88	$158.76	$235.33
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 $116.47 / $155.55 / $270.81	Professional		$116.47	$155.55	$270.81