Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $508.78 / $1,230.00 / $4,478.00	Facility		$508.78	$1,230.00	$4,478.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $373.97 / $540.21 / $842.16	Professional		$373.97	$540.21	$842.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $334.54 / $629.73 / $675.78	Professional		$334.54	$629.73	$675.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,627.26 / $2,627.26 / $3,152.71	Facility		$2,627.26	$2,627.26	$3,152.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.30 / $632.44 / $837.05	Professional		$446.30	$632.44	$837.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $498.01 / $543.23 / $1,540.46	Facility		$498.01	$543.23	$1,540.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $670.13 / $670.13 / $696.93	Professional		$670.13	$670.13	$696.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,360.08 / $2,360.08 / $2,360.08	Facility		$2,360.08	$2,360.08	$2,360.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.00 / $705.06 / $1,025.46	Professional		$436.00	$705.06	$1,025.46
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $384.72 / $736.78 / $769.44	Professional		$384.72	$736.78	$769.44
United Facility/Professional Facility Modifier Low / Median / High Price $980.00 / $1,650.00 / $4,064.00	Facility		$980.00	$1,650.00	$4,064.00
United Facility/Professional Professional Modifier Low / Median / High Price $478.92 / $684.27 / $1,128.43	Professional		$478.92	$684.27	$1,128.43