Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $725.56 / $1,881.63 / $3,790.24	Facility		$725.56	$1,881.63	$3,790.24
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $37.82 / $59.67 / $196.87	Facility	53	$37.82	$59.67	$196.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.40 / $507.89 / $728.49	Professional		$160.40	$507.89	$728.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $235.44 / $235.44 / $235.44	Professional		$235.44	$235.44	$235.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,525.10 / $1,525.10 / $1,830.12	Facility		$1,525.10	$1,525.10	$1,830.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.51 / $240.45 / $650.30	Professional		$163.51	$240.45	$650.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $231.17 / $231.17 / $231.17	Facility		$231.17	$231.17	$231.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $533.14 / $554.46 / $986.99	Professional		$533.14	$554.46	$986.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.77 / $733.44 / $1,105.00	Professional		$263.77	$733.44	$1,105.00
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $270.76 / $270.76 / $270.76	Professional		$270.76	$270.76	$270.76
United Facility/Professional Facility Modifier Low / Median / High Price $590.00 / $1,263.00 / $2,558.00	Facility		$590.00	$1,263.00	$2,558.00
United Facility/Professional Professional Modifier Low / Median / High Price $544.44 / $729.87 / $1,102.29	Professional		$544.44	$729.87	$1,102.29