Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.06 / $624.00 / $2,500.00	Facility		$63.06	$624.00	$2,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.68 / $80.78 / $127.03	Professional		$43.68	$80.78	$127.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $136.33 / $136.33 / $136.33	Professional		$136.33	$136.33	$136.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $183.66 / $183.66 / $220.39	Facility		$183.66	$183.66	$220.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.70 / $80.44 / $152.54	Professional		$54.70	$80.44	$152.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $108.69 / $108.69 / $108.69	Professional		$108.69	$108.69	$108.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.68 / $88.68 / $88.68	Facility		$88.68	$88.68	$88.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.61 / $85.29 / $153.26	Professional		$48.61	$85.29	$153.26
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $156.78 / $156.78 / $156.78	Professional		$156.78	$156.78	$156.78
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $328.00 / $858.00	Facility		$130.00	$328.00	$858.00
United Facility/Professional Professional Modifier Low / Median / High Price $79.14 / $113.32 / $203.46	Professional		$79.14	$113.32	$203.46