Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.99 / $803.00 / $2,812.00	Facility		$206.99	$803.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.79 / $226.86 / $302.75	Professional		$150.79	$226.86	$302.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $376.19 / $391.80 / $423.24	Professional		$376.19	$391.80	$423.24
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 $169.76 / $249.64 / $373.33	Professional		$169.76	$249.64	$373.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $265.85 / $265.85 / $265.85	Professional		$265.85	$265.85	$265.85
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 $149.22 / $266.70 / $416.77	Professional		$149.22	$266.70	$416.77
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $389.38 / $389.38 / $486.73	Professional		$389.38	$389.38	$486.73
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 $219.04 / $278.97 / $456.22	Professional		$219.04	$278.97	$456.22