Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $397.49 / $1,055.23 / $3,308.00	Facility		$397.49	$1,055.23	$3,308.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $85.36 / $139.91 / $237.81	Facility	52	$85.36	$139.91	$237.81
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $34.14 / $55.97 / $95.12	Facility	53	$34.14	$55.97	$95.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.09 / $275.83 / $723.88	Professional		$125.09	$275.83	$723.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.85 / $216.64 / $442.04	Professional		$112.85	$216.64	$442.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $839.58 / $839.58 / $957.12	Facility		$839.58	$839.58	$957.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.32 / $215.18 / $521.24	Professional		$146.32	$215.18	$521.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $126.15 / $173.93 / $213.89	Facility		$126.15	$173.93	$213.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $314.73 / $419.94 / $748.68	Professional		$314.73	$419.94	$748.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $471.20 / $494.00 / $584.00	Facility		$471.20	$494.00	$584.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.17 / $308.00 / $613.07	Professional		$170.17	$308.00	$613.07
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $180.81 / $263.05 / $586.34	Professional		$180.81	$263.05	$586.34
United Facility/Professional Facility Modifier Low / Median / High Price $505.00 / $1,106.00 / $2,539.00	Facility		$505.00	$1,106.00	$2,539.00
United Facility/Professional Professional Modifier Low / Median / High Price $321.38 / $420.00 / $677.51	Professional		$321.38	$420.00	$677.51