Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.60 / $1,000.00 / $2,812.00	Facility		$117.60	$1,000.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.99 / $122.75 / $171.46	Professional		$83.99	$122.75	$171.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $216.98 / $216.98 / $230.88	Professional		$216.98	$216.98	$230.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $379.42 / $379.42 / $455.30	Facility		$379.42	$379.42	$455.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.58 / $156.07 / $206.56	Professional		$106.58	$156.07	$206.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $147.25 / $147.25 / $147.25	Professional		$147.25	$147.25	$147.25
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 $94.49 / $141.97 / $210.70	Professional		$94.49	$141.97	$210.70
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $88.72 / $249.53 / $249.53	Professional		$88.72	$249.53	$249.53
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $330.00 / $768.00	Facility		$130.00	$330.00	$768.00
United Facility/Professional Professional Modifier Low / Median / High Price $123.05 / $157.87 / $273.36	Professional		$123.05	$157.87	$273.36