Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.61 / $803.00 / $2,812.00	Facility		$104.61	$803.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.73 / $118.83 / $153.44	Professional		$79.73	$118.83	$153.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $111.33 / $111.33 / $220.91	Professional		$111.33	$111.33	$220.91
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 $88.00 / $129.41 / $196.62	Professional		$88.00	$129.41	$196.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $140.96 / $140.96 / $140.96	Professional		$140.96	$140.96	$140.96
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 $78.16 / $134.30 / $200.68	Professional		$78.16	$134.30	$200.68
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $119.38 / $119.38 / $254.05	Professional		$119.38	$119.38	$254.05
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 $108.47 / $147.52 / $260.35	Professional		$108.47	$147.52	$260.35