Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $402.11 / $1,821.00 / $3,804.00	Facility		$402.11	$1,821.00	$3,804.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.50 / $284.74 / $719.78	Professional		$150.50	$284.74	$719.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $262.24 / $262.24 / $262.24	Professional		$262.24	$262.24	$262.24
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 $154.35 / $226.99 / $647.25	Professional		$154.35	$226.99	$647.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $217.08 / $217.08 / $217.08	Facility		$217.08	$217.08	$217.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $526.48 / $547.53 / $973.61	Professional		$526.48	$547.53	$973.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.98 / $718.04 / $1,098.26	Professional		$248.98	$718.04	$1,098.26
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $301.58 / $301.58 / $301.58	Professional		$301.58	$301.58	$301.58
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 $543.85 / $725.58 / $1,086.23	Professional		$543.85	$725.58	$1,086.23