Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,047.13 / $2,290.87	Facility		$416.87	$1,047.13	$2,290.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $537.03 / $1,230.27	Professional		$354.81	$537.03	$1,230.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $398.11 / $831.76	Professional		$186.21	$398.11	$831.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $4,168.69	Facility		$3,019.95	$3,019.95	$4,168.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $549.54 / $758.58	Professional		$416.87	$549.54	$758.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $1,380.38	Facility		$501.19	$501.19	$1,380.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Professional		$630.96	$630.96	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $588.84 / $870.96	Professional		$371.54	$588.84	$870.96
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $457.09 / $954.99	Professional		$229.09	$457.09	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $2,137.96 / $7,079.46	Facility		$977.24	$2,137.96	$7,079.46
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $524.81 / $870.96	Professional		$346.74	$524.81	$870.96