Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $575.44 / $1,862.09	Facility		$69.18	$575.44	$1,862.09
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $416.87 / $416.87 / $416.87	Facility	50	$416.87	$416.87	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $81.28 / $190.55	Professional		$52.48	$81.28	$190.55
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $138.04 / $204.17 / $354.81	Professional	50	$138.04	$204.17	$354.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $74.13 / $120.23	Professional		$38.90	$74.13	$120.23
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $69.18 / $112.20 / $173.78	Professional	50	$69.18	$112.20	$173.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $380.19	Facility		$275.42	$275.42	$380.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $114.82	Professional		$60.26	$79.43	$114.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $208.93	Facility		$74.13	$74.13	$208.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $95.50 / $125.89	Professional		$63.10	$95.50	$125.89
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $93.33 / $134.90	Professional		$44.67	$93.33	$134.90
Qualchoice Facility/Professional Professional Modifier 50 Low / Median / High Price $138.04 / $169.82 / $208.93	Professional	50	$138.04	$169.82	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $363.08 / $870.96	Facility		$128.82	$363.08	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $79.43 / $128.82	Professional		$53.70	$79.43	$128.82