Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $912.01 / $2,041.74	Facility		$177.83	$912.01	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $245.47 / $467.74	Professional		$131.83	$245.47	$467.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $154.88 / $213.80	Professional		$56.23	$154.88	$213.80
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 $131.83 / $173.78 / $331.13	Professional		$131.83	$173.78	$331.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $269.15 / $446.68	Professional		$181.97	$269.15	$446.68
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $234.42 / $263.03	Professional		$100.00	$234.42	$263.03
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 $128.82 / $239.88 / $436.52	Professional		$128.82	$239.88	$436.52