Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.19 / $624.34 / $2,493.00	Facility		$53.19	$624.34	$2,493.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $284.63 / $284.63 / $284.63	Facility	50	$284.63	$284.63	$284.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.35 / $52.71 / $88.62	Professional		$37.35	$52.71	$88.62
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $111.26 / $114.45 / $325.98	Professional	50	$111.26	$114.45	$325.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.76 / $72.95 / $84.16	Professional		$38.76	$72.95	$84.16
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $116.87 / $116.87 / $116.87	Professional	50	$116.87	$116.87	$116.87
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 $39.28 / $57.76 / $77.53	Professional		$39.28	$57.76	$77.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.36 / $47.60 / $135.72	Facility		$43.36	$47.60	$135.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $62.01 / $62.01 / $64.48	Professional		$62.01	$62.01	$64.48
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 $47.02 / $70.94 / $90.59	Professional		$47.02	$70.94	$90.59
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $52.27 / $86.08 / $104.54	Professional		$52.27	$86.08	$104.54
Qualchoice Facility/Professional Professional Modifier 50 Low / Median / High Price $133.72 / $134.40 / $134.40	Professional	50	$133.72	$134.40	$134.40
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 $48.39 / $66.12 / $103.21	Professional		$48.39	$66.12	$103.21