Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $851.14 / $1,819.70	Facility		$151.36	$851.14	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $281.84 / $426.58	Professional		$104.71	$281.84	$426.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $128.82 / $181.97	Professional		$87.10	$128.82	$181.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $812.83	Facility		$588.84	$588.84	$812.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $144.54 / $407.38	Professional		$109.65	$144.54	$407.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $645.65	Professional		$354.81	$354.81	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $229.09 / $549.54	Professional		$162.18	$229.09	$549.54
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $190.55 / $208.93	Professional		$151.36	$190.55	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $831.76 / $1,862.09	Facility		$331.13	$831.76	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $275.42 / $741.31	Professional		$109.65	$275.42	$741.31