Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $1,071.52 / $2,041.74	Facility		$95.50	$1,071.52	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $85.11 / $194.98	Professional		$47.86	$85.11	$194.98
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $74.13 / $251.19 / $371.54	Professional	50	$74.13	$251.19	$371.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $85.11 / $128.82	Professional		$77.62	$85.11	$128.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $891.25	Facility		$660.69	$660.69	$891.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $74.13 / $125.89	Professional		$54.95	$74.13	$125.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $194.98	Facility		$67.61	$67.61	$194.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $93.33 / $138.04	Professional		$60.26	$93.33	$138.04
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $134.90 / $158.49	Professional		$47.86	$134.90	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $912.01 / $2,089.30	Facility		$331.13	$912.01	$2,089.30
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $83.18 / $134.90	Professional		$50.12	$83.18	$134.90