Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.79 / $624.00 / $2,500.00	Facility		$113.79	$624.00	$2,500.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $51.89 / $64.03 / $80.90	Facility	52	$51.89	$64.03	$80.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.54 / $109.56 / $161.80	Professional		$81.54	$109.56	$161.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $150.63 / $150.63 / $150.63	Professional		$150.63	$150.63	$150.63
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 $97.17 / $129.72 / $171.68	Professional		$97.17	$129.72	$171.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $123.38 / $123.38 / $123.38	Professional		$123.38	$123.38	$123.38
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 $85.40 / $147.80 / $201.54	Professional		$85.40	$147.80	$201.54
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $328.00 / $768.00	Facility		$130.00	$328.00	$768.00
United Facility/Professional Professional Modifier Low / Median / High Price $100.64 / $133.88 / $254.60	Professional		$100.64	$133.88	$254.60