Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $314.50 / $827.00 / $3,307.15	Facility		$314.50	$827.00	$3,307.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.61 / $156.32 / $541.59	Professional		$86.61	$156.32	$541.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.12 / $114.12 / $114.12	Professional		$114.12	$114.12	$114.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $660.03 / $660.03 / $792.04	Facility		$660.03	$660.03	$792.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.33 / $124.01 / $475.28	Professional		$84.33	$124.01	$475.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $118.77 / $118.77 / $118.77	Facility		$118.77	$118.77	$118.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $384.56 / $399.95 / $708.49	Professional		$384.56	$399.95	$708.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.21 / $532.07 / $812.88	Professional		$134.21	$532.07	$812.88
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $131.24 / $131.24 / $131.24	Professional		$131.24	$131.24	$131.24
United Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $827.00 / $2,285.00	Facility		$330.00	$827.00	$2,285.00
United Facility/Professional Professional Modifier Low / Median / High Price $393.44 / $510.39 / $878.94	Professional		$393.44	$510.39	$878.94