Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.05 / $105.75 / $3,109.00	Facility		$44.05	$105.75	$3,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.94 / $59.99 / $105.75	Professional		$29.94	$59.99	$105.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.50 / $152.85 / $153.75	Professional		$144.50	$152.85	$153.75
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 $38.11 / $56.04 / $139.19	Professional		$38.11	$56.04	$139.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $98.30 / $98.30 / $98.30	Professional		$98.30	$98.30	$98.30
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 $34.01 / $70.61 / $144.63	Professional		$34.01	$70.61	$144.63
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $141.24 / $166.18 / $176.81	Professional		$141.24	$166.18	$176.81
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $328.00 / $768.00	Facility		$130.00	$328.00	$768.00
United Facility/Professional Professional Modifier Low / Median / High Price $59.10 / $102.51 / $187.65	Professional		$59.10	$102.51	$187.65