Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $452.05 / $1,230.00 / $3,446.00	Facility		$452.05	$1,230.00	$3,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.18 / $461.53 / $646.08	Professional		$300.18	$461.53	$646.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $298.26 / $596.52 / $656.67	Professional		$298.26	$596.52	$656.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,027.36 / $3,027.36 / $3,632.83	Facility		$3,027.36	$3,027.36	$3,632.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $418.01 / $572.78 / $758.10	Professional		$418.01	$572.78	$758.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $460.78 / $504.10 / $1,380.12	Facility		$460.78	$504.10	$1,380.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $604.69 / $604.69 / $628.88	Professional		$604.69	$604.69	$628.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,204.26 / $2,204.26 / $2,204.26	Facility		$2,204.26	$2,204.26	$2,204.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.70 / $613.55 / $913.02	Professional		$396.70	$613.55	$913.02
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $343.00 / $686.00 / $755.17	Professional		$343.00	$686.00	$755.17
United Facility/Professional Facility Modifier Low / Median / High Price $980.00 / $1,650.00 / $4,064.00	Facility		$980.00	$1,650.00	$4,064.00
United Facility/Professional Professional Modifier Low / Median / High Price $443.01 / $597.78 / $1,000.62	Professional		$443.01	$597.78	$1,000.62