Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $794.33 / $2,041.74	Facility		$54.95	$794.33	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $66.07 / $162.18	Professional		$38.02	$66.07	$162.18
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $72.44 / $72.44 / $104.71	Professional	50	$72.44	$72.44	$104.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $67.61 / $95.50	Professional		$46.77	$67.61	$95.50
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 $41.69 / $54.95 / $81.28	Professional		$41.69	$54.95	$81.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $144.54	Facility		$50.12	$50.12	$144.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61
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 $44.67 / $70.79 / $95.50	Professional		$44.67	$70.79	$95.50
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $93.33 / $109.65	Professional		$72.44	$93.33	$109.65
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 $39.81 / $57.54 / $95.50	Professional		$39.81	$57.54	$95.50