Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.96 / $1,000.00 / $2,812.00	Facility		$45.96	$1,000.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.96 / $51.68 / $64.52	Professional		$23.96	$51.68	$64.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.41 / $82.44 / $95.11	Professional		$63.41	$82.44	$95.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.83 / $36.52 / $75.94	Professional		$24.83	$36.52	$75.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.04 / $56.04 / $56.04	Professional		$56.04	$56.04	$56.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.13 / $41.97 / $88.63	Professional		$23.13	$41.97	$88.63
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $72.92 / $94.81 / $109.38	Professional		$72.92	$94.81	$109.38
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $337.00 / $858.00	Facility		$130.00	$337.00	$858.00
United Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $65.13 / $107.74	Professional		$54.00	$65.13	$107.74