Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $1,230.27 / $2,041.74	Facility		$181.97	$1,230.27	$2,041.74
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $478.63 / $478.63 / $933.25	Facility	50	$478.63	$478.63	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $181.97 / $389.05	Professional		$128.82	$181.97	$389.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $158.49 / $218.78	Professional		$120.23	$158.49	$218.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $177.83	Professional		$134.90	$134.90	$177.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $323.59	Professional		$165.96	$165.96	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $229.09 / $245.47	Professional		$165.96	$229.09	$245.47
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $223.87 / $257.04	Professional		$169.82	$223.87	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $331.13 / $851.14	Facility		$128.82	$331.13	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $151.36 / $275.42	Professional		$117.49	$151.36	$275.42