Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.80 / $150.02 / $3,109.00	Facility		$69.80	$150.02	$3,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.18 / $94.26 / $150.02	Professional		$54.18	$94.26	$150.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.99 / $188.97 / $201.08	Professional		$32.99	$188.97	$201.08
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 $59.98 / $88.20 / $180.64	Professional		$59.98	$88.20	$180.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $128.44 / $128.44 / $128.44	Professional		$128.44	$128.44	$128.44
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 $53.98 / $103.66 / $192.82	Professional		$53.98	$103.66	$192.82
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $217.32 / $217.32 / $217.32	Professional		$217.32	$217.32	$217.32
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $337.79 / $768.00	Facility		$130.00	$337.79	$768.00
United Facility/Professional Professional Modifier Low / Median / High Price $95.59 / $144.00 / $234.84	Professional		$95.59	$144.00	$234.84