Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.25 / $1,083.00 / $2,493.00	Facility		$142.25	$1,083.00	$2,493.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $136.43 / $199.75	Professional		$78.68	$136.43	$199.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.80 / $121.08 / $259.20	Professional		$82.80	$121.08	$259.20
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 $116.38 / $171.14 / $227.28	Professional		$116.38	$171.14	$227.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $162.75 / $162.75 / $162.75	Professional		$162.75	$162.75	$162.75
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 $104.08 / $155.94 / $233.74	Professional		$104.08	$155.94	$233.74
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $95.22 / $137.97 / $298.08	Professional		$95.22	$137.97	$298.08
United Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $811.00 / $2,285.00	Facility		$330.00	$811.00	$2,285.00
United Facility/Professional Professional Modifier Low / Median / High Price $134.44 / $174.31 / $284.68	Professional		$134.44	$174.31	$284.68