Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.63 / $120.87 / $3,109.00	Facility		$52.63	$120.87	$3,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.11 / $72.01 / $120.87	Professional		$37.11	$72.01	$120.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $175.93 / $175.93 / $175.93	Professional		$175.93	$175.93	$175.93
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 $45.66 / $67.15 / $152.22	Professional		$45.66	$67.15	$152.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $107.72 / $107.72 / $107.72	Professional		$107.72	$107.72	$107.72
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 $41.42 / $81.97 / $158.50	Professional		$41.42	$81.97	$158.50
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $154.55 / $202.32 / $202.32	Professional		$154.55	$202.32	$202.32
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 $74.09 / $112.79 / $193.04	Professional		$74.09	$112.79	$193.04