Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $337.63 / $738.00 / $2,812.00	Facility		$337.63	$738.00	$2,812.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $244.97 / $270.95 / $307.73	Facility	54	$244.97	$270.95	$307.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.89 / $320.02 / $471.70	Professional		$253.89	$320.02	$471.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $467.25 / $467.25 / $467.25	Professional		$467.25	$467.25	$467.25
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 $313.30 / $414.67 / $452.54	Professional		$313.30	$414.67	$452.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $346.10 / $376.31 / $1,034.32	Facility		$346.10	$376.31	$1,034.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $365.78 / $365.78 / $380.41	Professional		$365.78	$365.78	$380.41
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 $268.72 / $449.72 / $540.54	Professional		$268.72	$449.72	$540.54
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $537.34 / $537.34 / $537.34	Professional		$537.34	$537.34	$537.34
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 $282.89 / $410.24 / $618.99	Professional		$282.89	$410.24	$618.99