Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $537.03 / $1,819.70	Facility		$97.72	$537.03	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $151.36 / $446.68	Professional		$72.44	$151.36	$446.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $100.00 / $354.81	Professional		$70.79	$100.00	$354.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $912.01	Facility		$660.69	$660.69	$912.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $112.20 / $478.63	Professional		$85.11	$112.20	$478.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $724.44	Professional		$398.11	$398.11	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $199.53 / $812.83	Professional		$134.90	$199.53	$812.83
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $144.54 / $616.60	Professional		$138.04	$144.54	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $912.01 / $2,089.30	Facility		$331.13	$912.01	$2,089.30
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $371.54 / $660.69	Professional		$81.28	$371.54	$660.69