Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $398.11 / $2,041.74	Facility		$85.11	$398.11	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $158.49 / $316.23	Professional		$61.66	$158.49	$316.23
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $131.83 / $131.83 / $194.98	Professional	50	$131.83	$131.83	$194.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $102.33 / $245.47	Professional		$60.26	$102.33	$245.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $316.23	Professional		$239.88	$239.88	$316.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $204.17 / $323.59	Professional		$190.55	$204.17	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $151.36 / $407.38	Professional		$83.18	$151.36	$407.38
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $117.49 / $354.81	Professional		$102.33	$117.49	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $331.13 / $851.14	Facility		$128.82	$331.13	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $186.21 / $426.58	Professional		$69.18	$186.21	$426.58