Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.02 / $975.00 / $2,812.00	Facility		$223.02	$975.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.81 / $245.55 / $338.54	Professional		$166.81	$245.55	$338.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $431.86 / $431.86 / $447.53	Professional		$431.86	$431.86	$447.53
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 $196.87 / $289.51 / $409.64	Professional		$196.87	$289.51	$409.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $292.47 / $292.47 / $292.47	Professional		$292.47	$292.47	$292.47
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 $158.24 / $311.24 / $462.28	Professional		$158.24	$311.24	$462.28
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $496.64 / $496.64 / $496.64	Professional		$496.64	$496.64	$496.64
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 $233.89 / $308.20 / $539.04	Professional		$233.89	$308.20	$539.04