Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.28 / $136.91 / $547.23	Facility		$35.28	$136.91	$547.23
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $547.22 / $547.22 / $642.71	Facility	50	$547.22	$547.22	$642.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $51.95 / $110.63	Professional		$25.00	$51.95	$110.63
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $137.72 / $137.72 / $137.72	Professional	50	$137.72	$137.72	$137.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $33.00 / $33.00	Professional		$33.00	$33.00	$33.00
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 $29.38 / $43.21 / $123.29	Professional		$29.38	$43.21	$123.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.31 / $34.72 / $101.08	Facility		$31.31	$34.72	$101.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.55 / $95.55 / $99.37	Professional		$95.55	$95.55	$99.37
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 $30.08 / $71.94 / $148.33	Professional		$30.08	$71.94	$148.33
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $37.95 / $37.95 / $37.95	Professional		$37.95	$37.95	$37.95
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $306.00 / $768.00	Facility		$130.00	$306.00	$768.00
United Facility/Professional Professional Modifier Low / Median / High Price $79.75 / $105.42 / $165.68	Professional		$79.75	$105.42	$165.68