Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $912.01 / $2,344.23	Facility		$199.53	$912.01	$2,344.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $218.78 / $501.19	Professional		$112.20	$218.78	$501.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $131.83 / $223.87	Professional		$70.79	$131.83	$223.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $1,148.15	Facility		$831.76	$831.76	$1,148.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $169.82 / $398.11	Professional		$128.82	$169.82	$398.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $147.91 / $208.93	Facility		$112.20	$147.91	$208.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $331.13 / $602.56	Professional		$263.03	$331.13	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $436.52 / $891.25	Facility		$363.08	$436.52	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $251.19 / $467.74	Professional		$134.90	$251.19	$467.74
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $218.78 / $446.68	Professional		$100.00	$218.78	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,230.27 / $2,570.40	Facility		$537.03	$1,230.27	$2,570.40
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $251.19 / $446.68	Professional		$120.23	$251.19	$446.68