Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.35 / $745.20 / $3,109.00	Facility		$250.35	$745.20	$3,109.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $90.48 / $121.23 / $209.30	Facility	52	$90.48	$121.23	$209.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.88 / $209.58 / $381.81	Professional		$5.88	$209.58	$381.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $78.25 / $223.45 / $237.11	Professional		$78.25	$223.45	$237.11
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 $133.97 / $197.02 / $337.61	Professional		$133.97	$197.02	$337.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $187.88 / $187.88 / $187.88	Facility		$187.88	$187.88	$187.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $284.70 / $296.08 / $530.24	Professional		$284.70	$296.08	$530.24
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 $187.33 / $261.33 / $462.81	Professional		$187.33	$261.33	$462.81
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $110.71 / $205.25 / $256.97	Professional		$110.71	$205.25	$256.97
United Facility/Professional Facility Modifier Low / Median / High Price $590.00 / $1,427.00 / $4,889.18	Facility		$590.00	$1,427.00	$4,889.18
United Facility/Professional Professional Modifier Low / Median / High Price $232.54 / $323.07 / $495.27	Professional		$232.54	$323.07	$495.27