Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.85 / $518.00 / $2,500.00	Facility		$84.85	$518.00	$2,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.28 / $79.59 / $140.00	Professional		$61.28	$79.59	$140.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $130.31 / $130.31 / $130.31	Professional		$130.31	$130.31	$130.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $105.13 / $124.85	Professional		$79.43	$105.13	$124.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $88.36 / $88.36 / $88.36	Professional		$88.36	$88.36	$88.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.68 / $88.68 / $88.68	Facility		$88.68	$88.68	$88.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.20 / $88.63 / $122.61	Professional		$61.20	$88.63	$122.61
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $149.86 / $149.86 / $149.86	Professional		$149.86	$149.86	$149.86
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 $72.31 / $90.95 / $149.33	Professional		$72.31	$90.95	$149.33