Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.89 / $803.00 / $2,812.00	Facility		$74.89	$803.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.79 / $89.12 / $172.22	Professional		$55.79	$89.12	$172.22
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $130.62 / $243.00 / $518.92	Professional	50	$130.62	$243.00	$518.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.97 / $142.96 / $150.69	Professional		$84.97	$142.96	$150.69
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $168.00 / $209.25 / $216.07	Professional	50	$168.00	$209.25	$216.07
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 $62.80 / $92.36 / $139.24	Professional		$62.80	$92.36	$139.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.95 / $76.68 / $222.22	Facility		$69.95	$76.68	$222.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $111.38 / $111.38 / $115.83	Professional		$111.38	$111.38	$115.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.31 / $110.83 / $158.16	Professional		$78.31	$110.83	$158.16
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $160.43 / $178.25	Professional		$97.72	$160.43	$178.25
Qualchoice Facility/Professional Professional Modifier 50 Low / Median / High Price $211.21 / $248.48 / $248.48	Professional	50	$211.21	$248.48	$248.48
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $306.00 / $768.00	Facility		$130.00	$306.00	$768.00
United Facility/Professional Professional Modifier Low / Median / High Price $79.76 / $118.64 / $174.42	Professional		$79.76	$118.64	$174.42