Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.85 / $975.00 / $2,812.00	Facility		$92.85	$975.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.25 / $111.50 / $142.08	Professional		$74.25	$111.50	$142.08
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $37.14 / $53.23 / $70.02	Professional	52	$37.14	$53.23	$70.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $135.61 / $185.13 / $199.99	Professional		$135.61	$185.13	$199.99
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 $83.91 / $123.40 / $175.69	Professional		$83.91	$123.40	$175.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $126.03 / $126.03 / $126.03	Professional		$126.03	$126.03	$126.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $155.53 / $155.53 / $155.53	Facility		$155.53	$155.53	$155.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.34 / $115.48 / $179.93	Professional		$74.34	$115.48	$179.93
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $180.96 / $212.90 / $229.99	Professional		$180.96	$212.90	$229.99
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $328.00 / $768.00	Facility		$130.00	$328.00	$768.00
United Facility/Professional Professional Modifier Low / Median / High Price $96.98 / $134.25 / $233.43	Professional		$96.98	$134.25	$233.43