Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.91 / $975.00 / $2,812.00	Facility		$181.91	$975.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.63 / $196.88 / $265.00	Professional		$129.63	$196.88	$265.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $127.92 / $193.80 / $370.96	Professional		$127.92	$193.80	$370.96
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 $162.16 / $238.49 / $324.08	Professional		$162.16	$238.49	$324.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $232.47 / $232.47 / $232.47	Professional		$232.47	$232.47	$232.47
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 $145.59 / $223.02 / $341.45	Professional		$145.59	$223.02	$341.45
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $147.11 / $220.66 / $420.21	Professional		$147.11	$220.66	$420.21
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 $192.21 / $253.35 / $442.99	Professional		$192.21	$253.35	$442.99