Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.92 / $626.99 / $2,477.00	Facility		$54.92	$626.99	$2,477.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $415.46 / $682.72 / $682.72	Facility	50	$415.46	$682.72	$682.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.21 / $57.37 / $125.54	Professional		$37.21	$57.37	$125.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $35.86 / $107.60 / $200.18	Professional	50	$35.86	$107.60	$200.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $82.57 / $92.37	Professional		$37.90	$82.57	$92.37
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $92.37 / $123.86 / $132.00	Professional	50	$92.37	$123.86	$132.00
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 $41.47 / $60.99 / $81.81	Professional		$41.47	$60.99	$81.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.29 / $50.81 / $143.43	Facility		$46.29	$50.81	$143.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $65.93 / $65.93 / $68.56	Professional		$65.93	$65.93	$68.56
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 $43.71 / $70.36 / $96.71	Professional		$43.71	$70.36	$96.71
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $43.60 / $94.96 / $106.23	Professional		$43.60	$94.96	$106.23
Qualchoice Facility/Professional Professional Modifier 50 Low / Median / High Price $106.23 / $142.44 / $151.80	Professional	50	$106.23	$142.44	$151.80
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $306.00 / $768.00	Facility		$130.00	$306.00	$768.00
United Facility/Professional Professional Modifier Low / Median / High Price $50.67 / $74.06 / $108.72	Professional		$50.67	$74.06	$108.72