Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.14 / $391.54 / $2,477.00	Facility		$69.14	$391.54	$2,477.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.21 / $68.79 / $122.42	Professional		$47.21	$68.79	$122.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $96.77 / $102.82 / $103.84	Professional		$96.77	$102.82	$103.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $183.66 / $183.66 / $220.39	Facility		$183.66	$183.66	$220.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.46 / $73.40 / $89.78	Professional		$55.46	$73.40	$89.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $65.06 / $65.06 / $65.06	Professional		$65.06	$65.06	$65.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.68 / $88.68 / $88.68	Facility		$88.68	$88.68	$88.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.82 / $70.47 / $105.71	Professional		$44.82	$70.47	$105.71
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $111.29 / $118.24 / $118.24	Professional		$111.29	$118.24	$118.24
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 $58.09 / $71.66 / $119.60	Professional		$58.09	$71.66	$119.60