Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.73 / $803.00 / $2,812.00	Facility		$72.73	$803.00	$2,812.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $418.40 / $418.40 / $418.40	Facility	50	$418.40	$418.40	$418.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.47 / $70.56 / $104.07	Professional		$51.47	$70.56	$104.07
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $94.98 / $143.94 / $175.95	Professional	50	$94.98	$143.94	$175.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.47 / $116.69 / $126.06	Professional		$60.47	$116.69	$126.06
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $112.31 / $175.04 / $181.42	Professional	50	$112.31	$175.04	$181.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $276.52 / $276.52 / $331.84	Facility		$276.52	$276.52	$331.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.85 / $86.74 / $114.80	Professional		$59.85	$86.74	$114.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $67.16 / $73.42 / $210.95	Facility		$67.16	$73.42	$210.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $93.56 / $93.56 / $97.31	Professional		$93.56	$93.56	$97.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.91 / $257.91 / $257.91	Facility		$257.91	$257.91	$257.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.87 / $100.19 / $132.10	Professional		$68.87	$100.19	$132.10
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $54.11 / $134.19 / $155.72	Professional		$54.11	$134.19	$155.72
Qualchoice Facility/Professional Professional Modifier 50 Low / Median / High Price $171.10 / $201.30 / $208.63	Professional	50	$171.10	$201.30	$208.63
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $345.00 / $858.00	Facility		$130.00	$345.00	$858.00
United Facility/Professional Professional Modifier Low / Median / High Price $68.56 / $98.93 / $145.36	Professional		$68.56	$98.93	$145.36