Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.88 / $803.00 / $2,812.00	Facility		$134.88	$803.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.26 / $147.52 / $187.33	Professional		$101.26	$147.52	$187.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $135.13 / $255.10 / $271.04	Professional		$135.13	$255.10	$271.04
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 $111.42 / $163.86 / $236.66	Professional		$111.42	$163.86	$236.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $169.48 / $169.48 / $169.48	Professional		$169.48	$169.48	$169.48
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 $99.75 / $162.19 / $244.29	Professional		$99.75	$162.19	$244.29
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $287.72 / $310.81 / $311.70	Professional		$287.72	$310.81	$311.70
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $345.00 / $768.00	Facility		$130.00	$345.00	$768.00
United Facility/Professional Professional Modifier Low / Median / High Price $134.18 / $181.23 / $316.93	Professional		$134.18	$181.23	$316.93