Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.13 / $982.22 / $2,812.00	Facility		$234.13	$982.22	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.03 / $260.14 / $380.89	Professional		$168.03	$260.14	$380.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $272.41 / $422.93 / $474.21	Professional		$272.41	$422.93	$474.21
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 $190.88 / $280.70 / $401.29	Professional		$190.88	$280.70	$401.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $287.02 / $287.02 / $287.02	Professional		$287.02	$287.02	$287.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $317.94 / $317.94 / $317.94	Facility		$317.94	$317.94	$317.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.59 / $300.38 / $469.34	Professional		$157.59	$300.38	$469.34
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $235.20 / $413.41 / $545.34	Professional		$235.20	$413.41	$545.34
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 $235.46 / $310.01 / $507.25	Professional		$235.46	$310.01	$507.25