Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.06 / $1,000.00 / $2,812.00	Facility		$179.06	$1,000.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.61 / $202.91 / $253.04	Professional		$134.61	$202.91	$253.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $345.66 / $362.78 / $391.89	Professional		$345.66	$362.78	$391.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $379.42 / $379.42 / $455.30	Facility		$379.42	$379.42	$455.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.76 / $223.18 / $346.50	Professional		$151.76	$223.18	$346.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $246.61 / $246.61 / $246.61	Professional		$246.61	$246.61	$246.61
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 $133.53 / $238.08 / $385.19	Professional		$133.53	$238.08	$385.19
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $397.51 / $417.20 / $450.67	Professional		$397.51	$417.20	$450.67
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 $177.82 / $245.82 / $421.65	Professional		$177.82	$245.82	$421.65