Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.48 / $1,000.00 / $2,812.00	Facility		$167.48	$1,000.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.20 / $159.87 / $231.63	Professional		$119.20	$159.87	$231.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.34 / $138.76 / $149.88	Professional		$77.34	$138.76	$149.88
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 $150.27 / $198.89 / $261.81	Professional		$150.27	$198.89	$261.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $187.67 / $187.67 / $187.67	Professional		$187.67	$187.67	$187.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $827.75 / $827.75 / $827.75	Facility		$827.75	$827.75	$827.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.74 / $188.75 / $270.19	Professional		$129.74	$188.75	$270.19
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $88.94 / $159.57 / $172.37	Professional		$88.94	$159.57	$172.37
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 $158.25 / $201.38 / $350.52	Professional		$158.25	$201.38	$350.52