Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.61 / $961.00 / $2,812.00	Facility		$86.61	$961.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.58 / $158.12 / $365.33	Professional		$61.58	$158.12	$365.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.41 / $104.44 / $113.90	Professional		$74.41	$104.44	$113.90
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $109.96 / $109.96 / $109.96	Professional	50	$109.96	$109.96	$109.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.18 / $106.15 / $318.64	Professional		$72.18	$106.15	$318.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.19 / $84.98 / $95.42	Facility		$64.19	$84.98	$95.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $190.50 / $224.73 / $275.54	Professional		$190.50	$224.73	$275.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.98 / $145.00 / $373.13	Professional		$80.98	$145.00	$373.13
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $112.87 / $128.35 / $130.99	Professional		$112.87	$128.35	$130.99
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 $193.38 / $267.11 / $566.48	Professional		$193.38	$267.11	$566.48