Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.46 / $1,000.00 / $3,792.00	Facility		$157.46	$1,000.00	$3,792.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.90 / $145.50 / $376.43	Professional		$68.90	$145.50	$376.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.28 / $243.93 / $266.10	Professional		$108.28	$243.93	$266.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,627.26 / $2,627.26 / $3,152.71	Facility		$2,627.26	$2,627.26	$3,152.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.67 / $108.34 / $224.64	Professional		$73.67	$108.34	$224.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $105.47 / $105.47 / $105.47	Facility		$105.47	$105.47	$105.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $192.80 / $200.51 / $357.59	Professional		$192.80	$200.51	$357.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.10 / $196.01 / $300.00	Professional		$120.10	$196.01	$300.00
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $124.52 / $280.52 / $306.02	Professional		$124.52	$280.52	$306.02
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 $151.16 / $222.66 / $341.90	Professional		$151.16	$222.66	$341.90