Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $742.84 / $1,687.00 / $4,362.22	Facility		$742.84	$1,687.00	$4,362.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $528.77 / $634.22 / $955.87	Professional		$528.77	$634.22	$955.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $325.10 / $650.21 / $917.94	Professional		$325.10	$650.21	$917.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,027.36 / $3,027.36 / $3,632.83	Facility		$3,027.36	$3,027.36	$3,632.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $631.07 / $788.84 / $835.25	Professional		$631.07	$788.84	$835.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $705.65 / $768.60 / $2,254.88	Facility		$705.65	$768.60	$2,254.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $686.25 / $686.25 / $713.70	Professional		$686.25	$686.25	$713.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,926.18 / $4,926.18 / $4,926.18	Facility		$4,926.18	$4,926.18	$4,926.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $665.33 / $980.11 / $1,180.00	Professional		$665.33	$980.11	$1,180.00
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $373.87 / $527.72 / $1,055.63	Professional		$373.87	$527.72	$1,055.63
United Facility/Professional Facility Modifier Low / Median / High Price $2,104.00 / $4,334.00 / $8,676.00	Facility		$2,104.00	$4,334.00	$8,676.00
United Facility/Professional Professional Modifier Low / Median / High Price $568.29 / $795.61 / $1,169.65	Professional		$568.29	$795.61	$1,169.65