Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.32 / $83.54 / $346.72	Facility		$60.32	$83.54	$346.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.94 / $66.62 / $92.25	Professional		$43.94	$66.62	$92.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.79 / $105.05 / $122.56	Professional		$69.79	$105.05	$122.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $148.24 / $148.24 / $177.89	Facility		$148.24	$148.24	$177.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.98 / $77.45 / $102.51	Professional		$52.98	$77.45	$102.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $59.21 / $64.62 / $179.90	Facility		$59.21	$64.62	$179.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $83.95 / $83.95 / $87.31	Professional		$83.95	$83.95	$87.31
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 $63.18 / $87.01 / $122.47	Professional		$63.18	$87.01	$122.47
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $80.26 / $120.81 / $185.04	Professional		$80.26	$120.81	$185.04
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 $63.11 / $80.40 / $133.38	Professional		$63.11	$80.40	$133.38