Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $611.34 / $1,688.00 / $8,255.98	Facility		$611.34	$1,688.00	$8,255.98
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,445.00 / $2,167.50 / $7,612.64	Facility	50	$1,445.00	$2,167.50	$7,612.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $448.61 / $524.16 / $784.74	Professional		$448.61	$524.16	$784.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $369.74 / $758.06 / $805.44	Professional		$369.74	$758.06	$805.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,458.96 / $1,458.96 / $1,750.75	Facility		$1,458.96	$1,458.96	$1,750.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $547.98 / $684.98 / $725.27	Professional		$547.98	$684.98	$725.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $612.79 / $667.04 / $1,866.10	Facility		$612.79	$667.04	$1,866.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $595.58 / $595.58 / $619.40	Professional		$595.58	$595.58	$619.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,019.20 / $3,019.20 / $3,019.20	Facility		$3,019.20	$3,019.20	$3,019.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $513.09 / $748.66 / $952.71	Professional		$513.09	$748.66	$952.71
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $425.20 / $459.32 / $926.26	Professional		$425.20	$459.32	$926.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,240.00 / $2,268.00 / $5,626.00	Facility		$1,240.00	$2,268.00	$5,626.00
United Facility/Professional Professional Modifier Low / Median / High Price $459.30 / $604.60 / $962.01	Professional		$459.30	$604.60	$962.01