Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.35 / $803.00 / $2,812.00	Facility		$248.35	$803.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.53 / $344.06 / $455.05	Professional		$175.53	$344.06	$455.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $574.49 / $602.01 / $620.59	Professional		$574.49	$602.01	$620.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.65 / $278.89 / $544.45	Professional		$189.65	$278.89	$544.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $390.29 / $390.29 / $390.29	Professional		$390.29	$390.29	$390.29
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 $170.76 / $311.14 / $548.62	Professional		$170.76	$311.14	$548.62
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $242.79 / $660.66 / $713.68	Professional		$242.79	$660.66	$713.68
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 $339.84 / $407.81 / $668.15	Professional		$339.84	$407.81	$668.15