Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.71 / $1,000.00 / $2,500.00	Facility		$114.71	$1,000.00	$2,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.03 / $129.49 / $227.72	Professional		$84.03	$129.49	$227.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.63 / $131.63 / $131.63	Professional		$131.63	$131.63	$131.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $384.00 / $384.00 / $460.80	Facility		$384.00	$384.00	$460.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.69 / $106.89 / $146.19	Professional		$72.69	$106.89	$146.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $103.79 / $103.79 / $103.79	Professional		$103.79	$103.79	$103.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.53 / $67.53 / $67.53	Facility		$67.53	$67.53	$67.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.17 / $143.32 / $226.15	Professional		$64.17	$143.32	$226.15
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $151.38 / $151.38 / $151.38	Professional		$151.38	$151.38	$151.38
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 $109.13 / $139.87 / $228.57	Professional		$109.13	$139.87	$228.57