Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.48 / $835.00 / $2,500.00	Facility		$92.48	$835.00	$2,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.32 / $76.42 / $125.49	Professional		$42.32	$76.42	$125.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.31 / $97.31 / $97.31	Professional		$97.31	$97.31	$97.31
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 $60.87 / $89.52 / $170.63	Professional		$60.87	$89.52	$170.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $121.94 / $121.94 / $121.94	Professional		$121.94	$121.94	$121.94
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 $53.90 / $102.53 / $172.67	Professional		$53.90	$102.53	$172.67
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 $60.70 / $122.40 / $210.29	Professional		$60.70	$122.40	$210.29