Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.20 / $130.07 / $3,109.00	Facility		$58.20	$130.07	$3,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $82.45 / $130.07	Professional		$45.71	$82.45	$130.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.86 / $168.29 / $168.29	Professional		$62.86	$168.29	$168.29
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 $49.50 / $72.79 / $161.60	Professional		$49.50	$72.79	$161.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $114.40 / $114.40 / $114.40	Professional		$114.40	$114.40	$114.40
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 $44.60 / $88.35 / $169.56	Professional		$44.60	$88.35	$169.56
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $72.29 / $193.53 / $205.94	Professional		$72.29	$193.53	$205.94
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 $82.71 / $126.31 / $219.97	Professional		$82.71	$126.31	$219.97