Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $1,071.52 / $2,398.83	Facility		$234.42	$1,071.52	$2,398.83
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $660.69 / $1,023.29 / $4,365.16	Facility	50	$660.69	$1,023.29	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $302.00 / $467.74	Professional		$181.97	$302.00	$467.74
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $186.21 / $562.34 / $1,174.90	Professional	50	$186.21	$562.34	$1,174.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $257.04 / $489.78	Professional		$128.82	$257.04	$489.78
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $123.03 / $190.55 / $691.83	Professional	50	$123.03	$190.55	$691.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $3,981.07	Facility		$2,884.03	$2,884.03	$3,981.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $234.42 / $389.05	Professional		$177.83	$234.42	$389.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $645.65	Professional		$346.74	$346.74	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Facility		$2,511.89	$2,511.89	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $380.19 / $575.44	Professional		$245.47	$380.19	$575.44
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $295.12	Professional		$147.91	$147.91	$295.12
Qualchoice Facility/Professional Professional Modifier 50 Low / Median / High Price $218.78 / $489.78 / $1,122.02	Professional	50	$218.78	$489.78	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $2,137.96 / $7,079.46	Facility		$977.24	$2,137.96	$7,079.46
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $309.03 / $537.03	Professional		$169.82	$309.03	$537.03