Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.35 / $716.55 / $2,477.00	Facility		$250.35	$716.55	$2,477.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $118.25 / $160.10 / $265.48	Facility	52	$118.25	$160.10	$265.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.09 / $300.62 / $449.28	Professional		$159.09	$300.62	$449.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $116.17 / $150.63 / $304.30	Professional		$116.17	$150.63	$304.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,390.44 / $3,390.44 / $4,068.53	Facility		$3,390.44	$3,390.44	$4,068.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.42 / $259.44 / $490.73	Professional		$176.42	$259.44	$490.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $245.79 / $245.79 / $245.79	Facility		$245.79	$245.79	$245.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $407.43 / $423.72 / $756.82	Professional		$407.43	$423.72	$756.82
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 $248.87 / $339.30 / $662.61	Professional		$248.87	$339.30	$662.61
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $133.60 / $145.44 / $230.99	Professional		$133.60	$145.44	$230.99
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 $326.58 / $405.42 / $693.18	Professional		$326.58	$405.42	$693.18