Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,819.70 / $3,090.30	Facility		$707.95	$1,819.70	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $416.87 / $1,122.02	Professional		$138.04	$416.87	$1,122.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $213.80 / $446.68	Professional		$123.03	$213.80	$446.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $2,089.30	Facility		$1,513.56	$1,513.56	$2,089.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $218.78 / $645.65	Professional		$162.18	$218.78	$645.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $1,023.29	Professional		$549.54	$549.54	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $363.08 / $1,096.48	Professional		$194.98	$363.08	$1,096.48
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $275.42 / $851.14	Professional		$204.17	$275.42	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,445.44 / $4,677.35	Facility		$602.56	$1,445.44	$4,677.35
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $489.78 / $933.25	Professional		$158.49	$489.78	$933.25