Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.11 / $975.00 / $2,812.00	Facility		$220.11	$975.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.33 / $235.00 / $303.95	Professional		$165.33	$235.00	$303.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.44 / $196.12 / $423.72	Professional		$138.44	$196.12	$423.72
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 $193.79 / $279.41 / $369.81	Professional		$193.79	$279.41	$369.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $264.83 / $264.83 / $264.83	Professional		$264.83	$264.83	$264.83
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 $174.40 / $267.00 / $390.27	Professional		$174.40	$267.00	$390.27
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $159.21 / $237.73 / $252.59	Professional		$159.21	$237.73	$252.59
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 $216.43 / $288.72 / $506.30	Professional		$216.43	$288.72	$506.30