Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.45 / $564.26 / $2,493.00	Facility		$48.45	$564.26	$2,493.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $458.00 / $567.29 / $567.29	Facility	50	$458.00	$567.29	$567.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.60 / $49.43 / $82.95	Professional		$33.60	$49.43	$82.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.18 / $74.34 / $85.77	Professional		$57.18	$74.34	$85.77
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 $39.34 / $55.88 / $73.95	Professional		$39.34	$55.88	$73.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.88 / $47.08 / $138.15	Facility		$42.88	$47.08	$138.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $59.05 / $59.05 / $61.41	Professional		$59.05	$59.05	$61.41
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 $46.00 / $68.44 / $93.82	Professional		$46.00	$68.44	$93.82
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $67.34 / $85.49 / $98.64	Professional		$67.34	$85.49	$98.64
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $328.00 / $858.00	Facility		$130.00	$328.00	$858.00
United Facility/Professional Professional Modifier Low / Median / High Price $49.92 / $71.36 / $109.29	Professional		$49.92	$71.36	$109.29