Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.81 / $576.00 / $2,500.00	Facility		$76.81	$576.00	$2,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.18 / $90.29 / $121.37	Professional		$54.18	$90.29	$121.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $189.16 / $189.16 / $189.16	Professional		$189.16	$189.16	$189.16
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 $62.95 / $92.58 / $180.28	Professional		$62.95	$92.58	$180.28
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 $56.71 / $102.05 / $172.09	Professional		$56.71	$102.05	$172.09
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $217.53 / $217.53 / $217.53	Professional		$217.53	$217.53	$217.53
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 $92.25 / $133.71 / $245.19	Professional		$92.25	$133.71	$245.19