Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.57 / $690.00 / $2,812.00	Facility		$54.57	$690.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $54.11 / $86.09	Professional		$37.00	$54.11	$86.09
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $73.20 / $73.20 / $73.20	Professional	50	$73.20	$73.20	$73.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.05 / $82.03 / $94.57	Professional		$63.05	$82.03	$94.57
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 $41.26 / $60.68 / $81.06	Professional		$41.26	$60.68	$81.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.45 / $49.98 / $145.81	Facility		$45.45	$49.98	$145.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $65.19 / $65.19 / $67.80	Professional		$65.19	$65.19	$67.80
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 $49.51 / $73.59 / $96.27	Professional		$49.51	$73.59	$96.27
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $37.29 / $94.33 / $108.76	Professional		$37.29	$94.33	$108.76
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 $50.83 / $74.18 / $108.72	Professional		$50.83	$74.18	$108.72