Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.13 / $1,000.00 / $2,812.00	Facility		$154.13	$1,000.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.40 / $146.53 / $195.55	Professional		$108.40	$146.53	$195.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $232.51 / $232.51 / $242.00	Professional		$232.51	$232.51	$242.00
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 $99.03 / $145.63 / $221.12	Professional		$99.03	$145.63	$221.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $157.83 / $157.83 / $157.83	Professional		$157.83	$157.83	$157.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $282.37 / $282.37 / $282.37	Facility		$282.37	$282.37	$282.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.57 / $162.84 / $258.52	Professional		$89.57	$162.84	$258.52
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $267.39 / $267.39 / $278.30	Professional		$267.39	$267.39	$278.30
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 $140.66 / $177.85 / $282.86	Professional		$140.66	$177.85	$282.86