Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.34 / $230.62 / $2,493.00	Facility		$74.34	$230.62	$2,493.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.89 / $97.54 / $164.18	Professional		$56.89	$97.54	$164.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.86 / $97.86 / $97.86	Professional		$97.86	$97.86	$97.86
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 $57.60 / $84.71 / $153.80	Professional		$57.60	$84.71	$153.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $109.59 / $109.59 / $109.59	Professional		$109.59	$109.59	$109.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.65 / $136.65 / $136.65	Facility		$136.65	$136.65	$136.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.99 / $113.20 / $217.11	Professional		$50.99	$113.20	$217.11
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $93.62 / $93.62 / $93.62	Professional		$93.62	$93.62	$93.62
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $337.00 / $858.00	Facility		$130.00	$337.00	$858.00
United Facility/Professional Professional Modifier Low / Median / High Price $106.86 / $148.41 / $210.84	Professional		$106.86	$148.41	$210.84