Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $303.10 / $1,064.00 / $3,696.60	Facility		$303.10	$1,064.00	$3,696.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.55 / $281.18 / $473.24	Professional		$225.55	$281.18	$473.24
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $27.54 / $29.88 / $63.39	Professional	AS	$27.54	$29.88	$63.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $355.97 / $355.97 / $355.97	Professional		$355.97	$355.97	$355.97
Ambetter Facility/Professional Professional Modifier AS Low / Median / High Price $48.41 / $48.41 / $48.41	Professional	AS	$48.41	$48.41	$48.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $262.89 / $328.63 / $347.96	Professional		$262.89	$328.63	$347.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $307.00 / $333.26 / $772.52	Facility		$307.00	$333.26	$772.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $297.55 / $297.55 / $309.45	Professional		$297.55	$297.55	$309.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.98 / $395.39 / $463.46	Professional		$294.98	$395.39	$463.46
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $409.37 / $409.37 / $435.60	Professional		$409.37	$409.37	$435.60
Qualchoice Facility/Professional Professional Modifier AS Low / Median / High Price $55.67 / $55.67 / $55.67	Professional	AS	$55.67	$55.67	$55.67
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $328.00 / $768.00	Facility		$130.00	$328.00	$768.00
United Facility/Professional Professional Modifier Low / Median / High Price $236.11 / $342.87 / $514.85	Professional		$236.11	$342.87	$514.85