Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $419.06 / $1,074.00 / $3,109.00	Facility		$419.06	$1,074.00	$3,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.24 / $523.65 / $680.78	Professional		$296.24	$523.65	$680.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $355.16 / $355.16 / $953.32	Professional		$355.16	$355.16	$953.32
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 $319.82 / $470.32 / $844.70	Professional		$319.82	$470.32	$844.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $607.53 / $607.53 / $607.53	Professional		$607.53	$607.53	$607.53
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 $211.68 / $484.23 / $859.83	Professional		$211.68	$484.23	$859.83
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $408.43 / $408.43 / $1,096.32	Professional		$408.43	$408.43	$1,096.32
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $330.00 / $858.00	Facility		$130.00	$330.00	$858.00
United Facility/Professional Professional Modifier Low / Median / High Price $516.14 / $646.76 / $1,212.78	Professional		$516.14	$646.76	$1,212.78