Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.03 / $1,057.16 / $3,109.00	Facility		$467.03	$1,057.16	$3,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $330.12 / $573.76 / $825.39	Professional		$330.12	$573.76	$825.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $477.57 / $1,024.24 / $1,108.44	Professional		$477.57	$1,024.24	$1,108.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $590.85 / $590.85 / $709.02	Facility		$590.85	$590.85	$709.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $356.70 / $524.55 / $899.98	Professional		$356.70	$524.55	$899.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $647.00 / $647.00 / $647.00	Professional		$647.00	$647.00	$647.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $497.86 / $497.86 / $497.86	Facility		$497.86	$497.86	$497.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $235.97 / $539.46 / $919.07	Professional		$235.97	$539.46	$919.07
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $454.79 / $1,177.88 / $1,274.71	Professional		$454.79	$1,177.88	$1,274.71
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $330.00 / $768.00	Facility		$130.00	$330.00	$768.00
United Facility/Professional Professional Modifier Low / Median / High Price $565.29 / $679.93 / $1,192.33	Professional		$565.29	$679.93	$1,192.33