Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.44 / $677.09 / $2,493.00	Facility		$54.44	$677.09	$2,493.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.71 / $56.38 / $93.52	Professional		$37.71	$56.38	$93.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.95 / $85.64 / $99.51	Professional		$59.95	$85.64	$99.51
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 $44.71 / $64.36 / $85.19	Professional		$44.71	$64.36	$85.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.76 / $53.55 / $157.15	Facility		$48.76	$53.55	$157.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $68.03 / $68.03 / $70.75	Professional		$68.03	$68.03	$70.75
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 $52.32 / $77.55 / $107.64	Professional		$52.32	$77.55	$107.64
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $68.94 / $98.49 / $114.29	Professional		$68.94	$98.49	$114.29
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $328.00 / $768.00	Facility		$130.00	$328.00	$768.00
United Facility/Professional Professional Modifier Low / Median / High Price $55.83 / $74.70 / $116.10	Professional		$55.83	$74.70	$116.10