Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $566.45 / $1,688.00 / $4,643.10	Facility		$566.45	$1,688.00	$4,643.10
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $383.50 / $383.50 / $1,262.00	Facility	50	$383.50	$383.50	$1,262.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $364.50 / $566.45 / $674.08	Professional		$364.50	$566.45	$674.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $288.02 / $362.02 / $698.54	Professional		$288.02	$362.02	$698.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,496.35 / $3,496.35 / $4,195.62	Facility		$3,496.35	$3,496.35	$4,195.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.58 / $577.83 / $577.83	Professional		$436.58	$577.83	$577.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $641.09 / $641.09 / $641.09	Facility		$641.09	$641.09	$641.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $510.51 / $530.92 / $990.91	Professional		$510.51	$530.92	$990.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,483.85 / $2,483.85 / $2,483.85	Facility		$2,483.85	$2,483.85	$2,483.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.00 / $665.53 / $815.78	Professional		$374.00	$665.53	$815.78
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $265.12 / $397.68 / $996.50	Professional		$265.12	$397.68	$996.50
United Facility/Professional Facility Modifier Low / Median / High Price $980.00 / $1,650.00 / $4,064.00	Facility		$980.00	$1,650.00	$4,064.00
United Facility/Professional Professional Modifier Low / Median / High Price $385.12 / $517.66 / $876.36	Professional		$385.12	$517.66	$876.36