Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $638.16 / $1,971.91 / $7,034.85	Facility		$638.16	$1,971.91	$7,034.85
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $137.91 / $502.00 / $9,504.56	Facility	50	$137.91	$502.00	$9,504.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.25 / $808.99 / $2,531.98	Professional		$312.25	$808.99	$2,531.98
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,152.39 / $1,152.39 / $1,152.39	Professional	50	$1,152.39	$1,152.39	$1,152.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $189.96 / $351.19 / $351.19	Professional		$189.96	$351.19	$351.19
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $440.16 / $526.79 / $2,317.00	Professional	50	$440.16	$526.79	$2,317.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,227.30 / $5,227.30 / $6,272.76	Facility		$5,227.30	$5,227.30	$6,272.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $351.70 / $517.20 / $2,570.40	Professional		$351.70	$517.20	$2,570.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $343.39 / $456.29 / $489.46	Facility		$343.39	$456.29	$489.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,643.26 / $1,949.70 / $2,390.50	Professional		$1,643.26	$1,949.70	$2,390.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $386.85 / $687.65 / $3,272.27	Professional		$386.85	$687.65	$3,272.27
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $337.46 / $337.46 / $403.87	Professional		$337.46	$337.46	$403.87
Qualchoice Facility/Professional Professional Modifier 50 Low / Median / High Price $499.46 / $1,012.37 / $2,664.55	Professional	50	$499.46	$1,012.37	$2,664.55
United Facility/Professional Facility Modifier Low / Median / High Price $2,104.00 / $4,576.00 / $8,929.00	Facility		$2,104.00	$4,576.00	$8,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,727.57 / $2,371.53 / $3,959.13	Professional		$1,727.57	$2,371.53	$3,959.13