Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.56 / $414.90 / $2,500.00	Facility		$73.56	$414.90	$2,500.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,239.00 / $1,239.00 / $1,239.00	Facility	50	$1,239.00	$1,239.00	$1,239.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.89 / $135.53 / $238.26	Professional		$46.89	$135.53	$238.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.24 / $80.27 / $83.83	Professional		$54.24	$80.27	$83.83
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $81.37 / $81.37 / $81.37	Professional	50	$81.37	$81.37	$81.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.11 / $78.09 / $224.96	Professional		$53.11	$78.09	$224.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.89 / $62.21 / $70.14	Facility		$46.89	$62.21	$70.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $134.72 / $158.69 / $194.57	Professional		$134.72	$158.69	$194.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.63 / $155.00 / $283.24	Professional		$62.63	$155.00	$283.24
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $77.15 / $88.40 / $96.40	Professional		$77.15	$88.40	$96.40
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $337.00 / $768.00	Facility		$130.00	$337.00	$768.00
United Facility/Professional Professional Modifier Low / Median / High Price $136.58 / $207.54 / $328.25	Professional		$136.58	$207.54	$328.25