Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.30 / $1,064.00 / $2,812.00	Facility		$83.30	$1,064.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.60 / $68.28 / $102.31	Professional		$41.60	$68.28	$102.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.70 / $112.70 / $112.70	Professional		$112.70	$112.70	$112.70
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 $48.90 / $71.91 / $116.27	Professional		$48.90	$71.91	$116.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $60.35 / $170.00	Facility		$55.00	$60.35	$170.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $93.25 / $93.25 / $96.98	Professional		$93.25	$93.25	$96.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.93 / $87.17 / $127.71	Professional		$58.93	$87.17	$127.71
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 $68.13 / $97.03 / $150.58	Professional		$68.13	$97.03	$150.58