Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $575.44 / $1,819.70	Facility		$53.70	$575.44	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $63.10 / $141.25	Professional		$36.31	$63.10	$141.25
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $61.66 / $117.49 / $251.19	Professional	50	$61.66	$117.49	$251.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $51.29 / $77.62	Professional		$26.92	$51.29	$77.62
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $72.44 / $97.72 / $125.89	Professional	50	$72.44	$97.72	$125.89
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 / $77.62	Professional		$38.90	$52.48	$77.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $134.90	Facility		$47.86	$47.86	$134.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
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 $40.74 / $66.07 / $89.13	Professional		$40.74	$66.07	$89.13
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $75.86 / $109.65	Professional		$54.95	$75.86	$109.65
Qualchoice Facility/Professional Professional Modifier 50 Low / Median / High Price $83.18 / $134.90 / $144.54	Professional	50	$83.18	$134.90	$144.54
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 $37.15 / $56.23 / $87.10	Professional		$37.15	$56.23	$87.10