Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.79 / $803.00 / $2,812.00	Facility		$37.79	$803.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $47.59 / $70.59	Professional		$26.94	$47.59	$70.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.37 / $80.43 / $85.77	Professional		$68.37	$80.43	$85.77
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 $30.07 / $44.22 / $75.98	Professional		$30.07	$44.22	$75.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.50 / $54.50 / $54.50	Professional		$54.50	$54.50	$54.50
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 $27.12 / $49.00 / $76.09	Professional		$27.12	$49.00	$76.09
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $53.67 / $92.49 / $98.64	Professional		$53.67	$92.49	$98.64
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $328.00 / $768.00	Facility		$130.00	$328.00	$768.00
United Facility/Professional Professional Modifier Low / Median / High Price $45.04 / $56.30 / $92.69	Professional		$45.04	$56.30	$92.69