Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.20 / $72.34 / $232.00	Facility		$43.20	$72.34	$232.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $198.09 / $198.09 / $198.09	Facility	50	$198.09	$198.09	$198.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.62 / $45.68 / $72.34	Professional		$30.62	$45.68	$72.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.13 / $88.13 / $88.13	Professional		$88.13	$88.13	$88.13
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 $28.02 / $41.21 / $89.10	Professional		$28.02	$41.21	$89.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.00 / $34.15 / $100.35	Facility		$31.00	$34.15	$100.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69.84 / $69.84 / $72.63	Professional		$69.84	$69.84	$72.63
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 $37.00 / $59.31 / $104.88	Professional		$37.00	$59.31	$104.88
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $101.35 / $101.35 / $101.35	Professional		$101.35	$101.35	$101.35
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 $48.98 / $70.01 / $117.00	Professional		$48.98	$70.01	$117.00