Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.16 / $975.00 / $2,812.00	Facility		$59.16	$975.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.02 / $59.57 / $76.03	Professional		$42.02	$59.57	$76.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $99.25 / $99.25 / $99.25	Professional		$99.25	$99.25	$99.25
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 $45.79 / $67.34 / $93.36	Professional		$45.79	$67.34	$93.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.84 / $66.84 / $66.84	Professional		$66.84	$66.84	$66.84
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 $41.18 / $68.15 / $96.71	Professional		$41.18	$68.15	$96.71
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $114.14 / $114.14 / $114.14	Professional		$114.14	$114.14	$114.14
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $337.79 / $768.00	Facility		$130.00	$337.79	$768.00
United Facility/Professional Professional Modifier Low / Median / High Price $56.88 / $71.09 / $125.45	Professional		$56.88	$71.09	$125.45