Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.44 / $1,277.00 / $3,304.80	Facility		$178.44	$1,277.00	$3,304.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.19 / $152.74 / $219.94	Professional		$127.19	$152.74	$219.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $156.51 / $156.51 / $156.51	Professional		$156.51	$156.51	$156.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.58 / $195.72 / $207.23	Professional		$156.58	$195.72	$207.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $171.00 / $186.72 / $431.82	Facility		$171.00	$186.72	$431.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $166.71 / $166.71 / $173.38	Professional		$166.71	$166.71	$173.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.90 / $224.31 / $265.62	Professional		$168.90	$224.31	$265.62
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $328.00 / $858.00	Facility		$130.00	$328.00	$858.00
United Facility/Professional Professional Modifier Low / Median / High Price $133.13 / $188.19 / $296.91	Professional		$133.13	$188.19	$296.91