Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $1,071.52 / $2,454.71	Facility		$239.88	$1,071.52	$2,454.71
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,238.72 / $2,511.89 / $6,606.93	Facility	50	$2,238.72	$2,511.89	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $257.04 / $537.03	Professional		$158.49	$257.04	$537.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $346.74 / $794.33 / $1,412.54	Professional	50	$346.74	$794.33	$1,412.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $275.42 / $426.58	Professional		$173.78	$275.42	$426.58
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $331.13 / $457.09 / $660.69	Professional	50	$331.13	$457.09	$660.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $2,238.72	Facility		$1,621.81	$1,621.81	$2,238.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $213.80 / $338.84	Professional		$162.18	$213.80	$338.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $575.44	Professional		$309.03	$309.03	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $309.03 / $457.09	Professional		$213.80	$309.03	$457.09
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $426.58 / $489.78	Professional		$275.42	$426.58	$489.78
Qualchoice Facility/Professional Professional Modifier 50 Low / Median / High Price $645.65 / $645.65 / $776.25	Professional	50	$645.65	$645.65	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,445.44 / $4,365.16	Facility		$588.84	$1,445.44	$4,365.16
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $257.04 / $457.09	Professional		$151.36	$257.04	$457.09