Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $562.34 / $1,862.09	Facility		$79.43	$562.34	$1,862.09
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $851.14 / $3,162.28 / $3,162.28	Facility	50	$851.14	$3,162.28	$3,162.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $151.36 / $213.80	Professional		$58.88	$151.36	$213.80
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $85.11 / $186.21 / $363.08	Professional	50	$85.11	$186.21	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $138.04 / $234.42	Professional		$85.11	$138.04	$234.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $162.18	Facility		$117.49	$117.49	$162.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $74.13 / $204.17	Professional		$56.23	$74.13	$204.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $331.13	Professional		$177.83	$177.83	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $112.20 / $251.19	Professional		$79.43	$112.20	$251.19
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $114.82 / $295.12	Professional		$97.72	$114.82	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $331.13 / $776.25	Facility		$128.82	$331.13	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $107.15 / $218.78	Professional		$53.70	$107.15	$218.78