Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.66 / $943.00 / $2,812.00	Facility		$149.66	$943.00	$2,812.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $74.84 / $112.25 / $274.41	Facility	52	$74.84	$112.25	$274.41
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $29.93 / $44.90 / $109.76	Facility	53	$29.93	$44.90	$109.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.25 / $149.66 / $580.87	Professional		$97.25	$149.66	$580.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $119.85 / $182.83 / $474.49	Professional		$119.85	$182.83	$474.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $588.35 / $588.35 / $706.02	Facility		$588.35	$588.35	$706.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.49 / $161.02 / $410.36	Professional		$109.49	$161.02	$410.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $154.26 / $154.26 / $154.26	Facility		$154.26	$154.26	$154.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $337.48 / $350.97 / $625.00	Professional		$337.48	$350.97	$625.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.75 / $239.92 / $533.15	Professional		$162.75	$239.92	$533.15
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $137.83 / $201.31 / $545.66	Professional		$137.83	$201.31	$545.66
United Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $811.00 / $2,285.00	Facility		$330.00	$811.00	$2,285.00
United Facility/Professional Professional Modifier Low / Median / High Price $292.27 / $555.54 / $818.10	Professional		$292.27	$555.54	$818.10