Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.50 / $1,230.00 / $3,634.68	Facility		$389.50	$1,230.00	$3,634.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.13 / $224.75 / $841.71	Professional		$160.13	$224.75	$841.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.13 / $243.52 / $263.89	Professional		$38.13	$243.52	$263.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.28 / $224.09 / $237.28	Professional		$179.28	$224.09	$237.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $203.40 / $222.21 / $516.32	Facility		$203.40	$222.21	$516.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $198.40 / $198.40 / $206.34	Professional		$198.40	$198.40	$206.34
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 $209.37 / $303.36 / $1,154.31	Professional		$209.37	$303.36	$1,154.31
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $40.53 / $280.05 / $322.45	Professional		$40.53	$280.05	$322.45
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 $145.80 / $280.66 / $884.13	Professional		$145.80	$280.66	$884.13