Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.03 / $1,064.00 / $2,812.00	Facility		$95.03	$1,064.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.63 / $75.70 / $120.41	Professional		$47.63	$75.70	$120.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.20 / $124.80 / $147.01	Professional		$83.20	$124.80	$147.01
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $111.43 / $111.43 / $187.20	Professional	50	$111.43	$111.43	$187.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $655.30 / $655.30 / $786.37	Facility		$655.30	$655.30	$786.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.45 / $81.55 / $126.32	Professional		$55.45	$81.55	$126.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.70 / $67.73 / $194.18	Facility		$61.70	$67.73	$194.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $100.90 / $100.90 / $104.94	Professional		$100.90	$100.90	$104.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.22 / $97.96 / $141.05	Professional		$67.22	$97.96	$141.05
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $145.68 / $145.68 / $145.68	Professional		$145.68	$145.68	$145.68
United Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $811.00 / $1,574.00	Facility		$330.00	$811.00	$1,574.00
United Facility/Professional Professional Modifier Low / Median / High Price $73.63 / $95.28 / $156.51	Professional		$73.63	$95.28	$156.51