Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.40 / $803.00 / $3,109.00	Facility		$155.40	$803.00	$3,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.42 / $148.02 / $210.99	Professional		$111.42	$148.02	$210.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.92 / $267.57 / $272.69	Professional		$70.92	$267.57	$272.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,525.10 / $1,525.10 / $1,830.12	Facility		$1,525.10	$1,525.10	$1,830.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.13 / $181.49 / $237.51	Professional		$137.13	$181.49	$237.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $170.12 / $170.12 / $170.12	Professional		$170.12	$170.12	$170.12
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 $118.10 / $178.51 / $247.88	Professional		$118.10	$178.51	$247.88
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $81.56 / $307.70 / $313.58	Professional		$81.56	$307.70	$313.58
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 $147.54 / $184.42 / $301.89	Professional		$147.54	$184.42	$301.89