Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.50 / $486.00 / $2,477.00	Facility		$71.50	$486.00	$2,477.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $804.70 / $804.70 / $804.70	Facility	50	$804.70	$804.70	$804.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.17 / $51.93 / $100.63	Professional		$35.17	$51.93	$100.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.78 / $49.29 / $133.44	Professional		$41.78	$49.29	$133.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $395.30 / $395.30 / $474.36	Facility		$395.30	$395.30	$474.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $47.40 / $108.15	Professional		$32.22	$47.40	$108.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.14 / $39.99 / $44.92	Facility		$30.14	$39.99	$44.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.59 / $83.32 / $102.15	Professional		$70.59	$83.32	$102.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $270.61 / $270.61 / $270.61	Facility		$270.61	$270.61	$270.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.54 / $60.69 / $142.28	Professional		$37.54	$60.69	$142.28
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $48.05 / $56.68 / $153.46	Professional		$48.05	$56.68	$153.46
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $337.00 / $768.00	Facility		$130.00	$337.00	$768.00
United Facility/Professional Professional Modifier Low / Median / High Price $36.86 / $81.25 / $167.93	Professional		$36.86	$81.25	$167.93