Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.63 / $76.45 / $527.82	Facility		$47.63	$76.45	$527.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.53 / $60.16 / $92.80	Professional		$37.53	$60.16	$92.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.66 / $67.08 / $100.61	Professional		$57.66	$67.08	$100.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.09 / $118.09 / $141.71	Facility		$118.09	$118.09	$141.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.72 / $62.83 / $94.42	Professional		$42.72	$62.83	$94.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.50 / $51.76 / $143.12	Facility		$47.50	$51.76	$143.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $76.36 / $76.36 / $79.42	Professional		$76.36	$76.36	$79.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.34 / $106.34 / $106.34	Facility		$106.34	$106.34	$106.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.40 / $74.30 / $109.28	Professional		$54.40	$74.30	$109.28
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $66.31 / $92.58 / $148.02	Professional		$66.31	$92.58	$148.02
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $328.00 / $858.00	Facility		$130.00	$328.00	$858.00
United Facility/Professional Professional Modifier Low / Median / High Price $57.14 / $73.28 / $122.30	Professional		$57.14	$73.28	$122.30