Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.19 / $1,074.00 / $3,109.00	Facility		$179.19	$1,074.00	$3,109.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $87.30 / $118.36 / $204.51	Facility	52	$87.30	$118.36	$204.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.96 / $227.81 / $409.02	Professional		$121.96	$227.81	$409.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.00 / $210.13 / $230.91	Professional		$173.00	$210.13	$230.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,625.78 / $1,625.78 / $1,950.94	Facility		$1,625.78	$1,625.78	$1,950.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.06 / $194.20 / $329.04	Professional		$132.06	$194.20	$329.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $186.68 / $186.68 / $186.68	Facility		$186.68	$186.68	$186.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $279.66 / $290.85 / $522.58	Professional		$279.66	$290.85	$522.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,046.51 / $1,046.51 / $1,046.51	Facility		$1,046.51	$1,046.51	$1,046.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.58 / $256.27 / $444.81	Professional		$182.58	$256.27	$444.81
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $198.95 / $241.65 / $265.55	Professional		$198.95	$241.65	$265.55
United Facility/Professional Facility Modifier Low / Median / High Price $590.00 / $1,230.00 / $2,558.00	Facility		$590.00	$1,230.00	$2,558.00
United Facility/Professional Professional Modifier Low / Median / High Price $223.79 / $306.08 / $475.33	Professional		$223.79	$306.08	$475.33