Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.22 / $103.47 / $3,109.00	Facility		$39.22	$103.47	$3,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.69 / $59.72 / $103.47	Professional		$26.69	$59.72	$103.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $145.00 / $145.00 / $145.00	Professional		$145.00	$145.00	$145.00
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 $34.14 / $50.20 / $131.79	Professional		$34.14	$50.20	$131.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $93.07 / $93.07 / $93.07	Professional		$93.07	$93.07	$93.07
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 $30.78 / $67.80 / $136.44	Professional		$30.78	$67.80	$136.44
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $166.75 / $166.75 / $166.75	Professional		$166.75	$166.75	$166.75
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 $60.19 / $97.37 / $154.27	Professional		$60.19	$97.37	$154.27