Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $489.78 / $1,819.70	Facility		$54.95	$489.78	$1,819.70
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $812.83 / $812.83 / $812.83	Facility	50	$812.83	$812.83	$812.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $51.29 / $109.65	Professional		$30.20	$51.29	$109.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $38.02 / $64.57	Professional		$24.55	$38.02	$64.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $537.03	Facility		$398.11	$398.11	$537.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $42.66 / $107.15	Professional		$32.36	$42.66	$107.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $50.12 / $54.95	Facility		$31.62	$50.12	$54.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $87.10 / $173.78	Professional		$70.79	$87.10	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $60.26 / $141.25	Professional		$38.90	$60.26	$141.25
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $69.18 / $147.91	Professional		$53.70	$69.18	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $363.08 / $1,023.29	Facility		$128.82	$363.08	$1,023.29
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $63.10 / $128.82	Professional		$32.36	$63.10	$128.82