Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.15 / $832.90 / $2,812.00	Facility		$103.15	$832.90	$2,812.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $588.50 / $1,628.00 / $3,599.16	Facility	50	$588.50	$1,628.00	$3,599.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.66 / $142.25 / $257.10	Professional		$70.66	$142.25	$257.10
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $111.89 / $403.43 / $823.00	Professional	50	$111.89	$403.43	$823.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.26 / $133.05 / $244.62	Professional		$65.26	$133.05	$244.62
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $158.00 / $181.25 / $344.83	Professional	50	$158.00	$181.25	$344.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $655.30 / $655.30 / $786.37	Facility		$655.30	$655.30	$786.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.86 / $130.68 / $230.30	Professional		$88.86	$130.68	$230.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $98.15 / $107.77 / $301.25	Facility		$98.15	$107.77	$301.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $182.04 / $182.04 / $189.32	Professional		$182.04	$182.04	$189.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.53 / $180.30 / $301.66	Professional		$99.53	$180.30	$301.66
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $138.94 / $281.31 / $281.31	Professional		$138.94	$281.31	$281.31
Qualchoice Facility/Professional Professional Modifier 50 Low / Median / High Price $181.70 / $181.70 / $208.44	Professional	50	$181.70	$181.70	$208.44
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 $141.41 / $216.28 / $357.03	Professional		$141.41	$216.28	$357.03