Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.11 / $527.28 / $2,500.00	Facility		$80.11	$527.28	$2,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.09 / $99.28 / $180.80	Professional		$60.09	$99.28	$180.80
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $30.05 / $45.34 / $59.02	Professional	52	$30.05	$45.34	$59.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.35 / $161.44 / $182.52	Professional		$114.35	$161.44	$182.52
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 $69.00 / $101.47 / $149.93	Professional		$69.00	$101.47	$149.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $107.44 / $107.44 / $107.44	Professional		$107.44	$107.44	$107.44
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 $60.62 / $93.81 / $171.65	Professional		$60.62	$93.81	$171.65
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $131.50 / $197.26 / $209.90	Professional		$131.50	$197.26	$209.90
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 $78.51 / $114.40 / $185.48	Professional		$78.51	$114.40	$185.48