Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.35 / $1,000.00 / $2,918.31	Facility		$91.35	$1,000.00	$2,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.59 / $101.20 / $141.75	Professional		$66.59	$101.20	$141.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.32 / $177.32 / $177.32	Professional		$177.32	$177.32	$177.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $660.03 / $660.03 / $792.04	Facility		$660.03	$660.03	$792.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.70 / $124.56 / $168.98	Professional		$84.70	$124.56	$168.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $120.71 / $120.71 / $120.71	Professional		$120.71	$120.71	$120.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $440.22 / $440.22 / $440.22	Facility		$440.22	$440.22	$440.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.09 / $113.96 / $172.01	Professional		$73.09	$113.96	$172.01
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $203.92 / $203.92 / $203.92	Professional		$203.92	$203.92	$203.92
United Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $811.00 / $1,574.00	Facility		$330.00	$811.00	$1,574.00
United Facility/Professional Professional Modifier Low / Median / High Price $94.17 / $128.84 / $209.48	Professional		$94.17	$128.84	$209.48