Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $322.39 / $966.17 / $2,812.00	Facility		$322.39	$966.17	$2,812.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $221.77 / $273.77 / $290.00	Facility	54	$221.77	$273.77	$290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.69 / $332.88 / $557.21	Professional		$241.69	$332.88	$557.21
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $211.61 / $259.51 / $316.22	Professional	54	$211.61	$259.51	$316.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $482.77 / $482.77 / $512.95	Professional		$482.77	$482.77	$512.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $210.54 / $210.54 / $252.65	Facility		$210.54	$210.54	$252.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.45 / $462.45 / $489.65	Professional		$354.45	$462.45	$489.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $393.18 / $426.62 / $1,129.58	Facility		$393.18	$426.62	$1,129.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $396.51 / $396.51 / $412.37	Professional		$396.51	$396.51	$412.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.26 / $167.26 / $167.26	Facility		$167.26	$167.26	$167.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.63 / $475.12 / $606.82	Professional		$278.63	$475.12	$606.82
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $438.99 / $555.19 / $589.89	Professional		$438.99	$555.19	$589.89
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 $268.11 / $367.23 / $640.27	Professional		$268.11	$367.23	$640.27