Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.44 / $663.00 / $2,812.00	Facility		$67.44	$663.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $88.04 / $148.16	Professional		$35.00	$88.04	$148.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $116.59 / $144.88 / $153.93	Professional		$116.59	$144.88	$153.93
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 $34.58 / $50.86 / $120.42	Professional		$34.58	$50.86	$120.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $93.54 / $93.54 / $93.54	Professional		$93.54	$93.54	$93.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.15 / $65.91 / $143.08	Professional		$34.15	$65.91	$143.08
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $134.08 / $170.40 / $183.05	Professional		$134.08	$170.40	$183.05
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $345.00 / $768.00	Facility		$130.00	$345.00	$768.00
United Facility/Professional Professional Modifier Low / Median / High Price $89.17 / $105.05 / $177.15	Professional		$89.17	$105.05	$177.15