Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.21 / $127.45 / $3,109.00	Facility		$59.21	$127.45	$3,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.49 / $80.84 / $127.45	Professional		$43.49	$80.84	$127.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.61 / $174.90 / $179.96	Professional		$141.61	$174.90	$179.96
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 $51.43 / $75.63 / $159.85	Professional		$51.43	$75.63	$159.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $113.32 / $113.32 / $113.32	Professional		$113.32	$113.32	$113.32
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 $46.34 / $88.47 / $166.76	Professional		$46.34	$88.47	$166.76
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $162.85 / $201.14 / $206.95	Professional		$162.85	$201.14	$206.95
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 $76.98 / $119.15 / $216.35	Professional		$76.98	$119.15	$216.35