Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $524.81 / $1,819.70	Facility		$46.77	$524.81	$1,819.70
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $457.09 / $562.34 / $562.34	Facility	50	$457.09	$562.34	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $57.54 / $125.89	Professional		$36.31	$57.54	$125.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $56.23 / $85.11	Professional		$39.81	$56.23	$85.11
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 $38.90 / $52.48 / $74.13	Professional		$38.90	$52.48	$74.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $138.04	Facility		$46.77	$46.77	$138.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
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 $41.69 / $64.57 / $91.20	Professional		$41.69	$64.57	$91.20
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $70.79 / $100.00	Professional		$51.29	$70.79	$100.00
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 $36.31 / $54.95 / $91.20	Professional		$36.31	$54.95	$91.20