Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.53 / $1,218.00 / $3,804.00	Facility		$130.53	$1,218.00	$3,804.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.70 / $129.71 / $169.68	Professional		$91.70	$129.71	$169.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.37 / $120.62 / $223.33	Professional		$81.37	$120.62	$223.33
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 $110.52 / $160.33 / $212.20	Professional		$110.52	$160.33	$212.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $151.19 / $151.19 / $151.19	Professional		$151.19	$151.19	$151.19
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 $95.15 / $149.72 / $220.50	Professional		$95.15	$149.72	$220.50
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $93.58 / $138.71 / $256.83	Professional		$93.58	$138.71	$256.83
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 $131.08 / $167.94 / $286.07	Professional		$131.08	$167.94	$286.07