Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.42 / $90.48 / $161.62	Facility		$74.42	$90.48	$161.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.03 / $82.40 / $126.59	Professional		$57.03	$82.40	$126.59
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $650.03 / $650.03 / $650.03	Professional	50	$650.03	$650.03	$650.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $116.36 / $136.88 / $147.05	Professional		$116.36	$136.88	$147.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $244.00 / $292.80	Facility		$244.00	$244.00	$292.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.03 / $93.60 / $123.89	Professional		$66.03	$93.60	$123.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.65 / $81.20 / $224.39	Facility		$74.65	$81.20	$224.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $101.58 / $101.58 / $105.64	Professional		$101.58	$101.58	$105.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $236.70 / $236.70 / $236.70	Facility		$236.70	$236.70	$236.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.56 / $109.83 / $147.03	Professional		$76.56	$109.83	$147.03
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $133.81 / $157.41 / $169.11	Professional		$133.81	$157.41	$169.11
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $337.00 / $792.26	Facility		$130.00	$337.00	$792.26
United Facility/Professional Professional Modifier Low / Median / High Price $76.30 / $108.72 / $165.29	Professional		$76.30	$108.72	$165.29