Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.41 / $714.84 / $2,812.00	Facility		$223.41	$714.84	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $252.11 / $336.82	Professional		$180.00	$252.11	$336.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $237.27 / $439.30 / $455.77	Professional		$237.27	$439.30	$455.77
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 $200.15 / $294.33 / $416.58	Professional		$200.15	$294.33	$416.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $297.39 / $297.39 / $297.39	Professional		$297.39	$297.39	$297.39
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 $176.59 / $316.93 / $469.53	Professional		$176.59	$316.93	$469.53
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $272.86 / $505.20 / $524.14	Professional		$272.86	$505.20	$524.14
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 $237.40 / $312.89 / $513.96	Professional		$237.40	$312.89	$513.96