Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.03 / $803.00 / $2,812.00	Facility		$55.03	$803.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.93 / $110.98 / $189.00	Professional		$43.93	$110.98	$189.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $78.20 / $170.59 / $197.97	Professional		$78.20	$170.59	$197.97
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 $45.56 / $67.00 / $159.43	Professional		$45.56	$67.00	$159.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $116.27 / $116.27 / $116.27	Professional		$116.27	$116.27	$116.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.35 / $83.71 / $179.95	Professional		$42.35	$83.71	$179.95
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $89.93 / $196.18 / $227.67	Professional		$89.93	$196.18	$227.67
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 $103.07 / $128.84 / $222.93	Professional		$103.07	$128.84	$222.93