Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $339.84 / $1,130.00 / $3,350.75	Facility		$339.84	$1,130.00	$3,350.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.59 / $338.56 / $431.12	Professional		$239.59	$338.56	$431.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $265.36 / $549.29 / $613.55	Professional		$265.36	$549.29	$613.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $590.85 / $590.85 / $709.02	Facility		$590.85	$590.85	$709.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $246.77 / $362.89 / $522.66	Professional		$246.77	$362.89	$522.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $372.09 / $372.09 / $372.09	Professional		$372.09	$372.09	$372.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $447.90 / $447.90 / $447.90	Facility		$447.90	$447.90	$447.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.95 / $394.17 / $616.17	Professional		$216.95	$394.17	$616.17
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $404.17 / $404.17 / $631.67	Professional		$404.17	$404.17	$631.67
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $337.00 / $768.00	Facility		$130.00	$337.00	$768.00
United Facility/Professional Professional Modifier Low / Median / High Price $311.60 / $411.78 / $674.49	Professional		$311.60	$411.78	$674.49