Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.52 / $1,218.00 / $3,109.00	Facility		$119.52	$1,218.00	$3,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.96 / $389.21 / $889.76	Professional		$87.96	$389.21	$889.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $156.94 / $156.94 / $156.94	Professional		$156.94	$156.94	$156.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,383.01 / $1,383.01 / $1,576.63	Facility		$1,383.01	$1,383.01	$1,576.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.10 / $138.38 / $819.14	Professional		$94.10	$138.38	$819.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.48 / $116.87 / $131.63	Facility		$83.48	$116.87	$131.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $576.97 / $823.80 / $1,350.29	Professional		$576.97	$823.80	$1,350.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $515.00 / $823.37 / $1,205.10	Facility		$515.00	$823.37	$1,205.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.89 / $211.94 / $1,187.80	Professional		$98.89	$211.94	$1,187.80
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $180.49 / $180.49 / $180.49	Professional		$180.49	$180.49	$180.49
United Facility/Professional Facility Modifier Low / Median / High Price $560.00 / $1,224.00 / $2,558.00	Facility		$560.00	$1,224.00	$2,558.00
United Facility/Professional Professional Modifier Low / Median / High Price $481.53 / $693.77 / $1,178.67	Professional		$481.53	$693.77	$1,178.67