Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.40 / $2,144.40 / $5,954.87	Facility		$787.40	$2,144.40	$5,954.87
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,465.40 / $5,465.40 / $5,465.40	Facility	50	$5,465.40	$5,465.40	$5,465.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $554.91 / $706.15 / $977.08	Professional		$554.91	$706.15	$977.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $515.14 / $931.09 / $1,080.52	Professional		$515.14	$931.09	$1,080.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,496.35 / $3,496.35 / $4,195.62	Facility		$3,496.35	$3,496.35	$4,195.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $652.33 / $863.38 / $863.38	Professional		$652.33	$863.38	$863.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $962.09 / $962.09 / $962.09	Facility		$962.09	$962.09	$962.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $763.59 / $794.13 / $1,487.09	Professional		$763.59	$794.13	$1,487.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,497.67 / $2,497.67 / $2,497.67	Facility		$2,497.67	$2,497.67	$2,497.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $591.92 / $1,016.33 / $1,225.81	Professional		$591.92	$1,016.33	$1,225.81
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $592.41 / $1,070.75 / $1,242.59	Professional		$592.41	$1,070.75	$1,242.59
United Facility/Professional Facility Modifier Low / Median / High Price $980.00 / $1,650.00 / $4,064.00	Facility		$980.00	$1,650.00	$4,064.00
United Facility/Professional Professional Modifier Low / Median / High Price $486.75 / $715.82 / $1,227.51	Professional		$486.75	$715.82	$1,227.51