Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.84 / $1,074.00 / $3,109.00	Facility		$237.84	$1,074.00	$3,109.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $102.72 / $130.81 / $203.82	Facility	52	$102.72	$130.81	$203.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.53 / $254.75 / $657.17	Professional		$165.53	$254.75	$657.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $118.31 / $236.62 / $282.58	Professional		$118.31	$236.62	$282.58
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 $175.40 / $257.94 / $573.41	Professional		$175.40	$257.94	$573.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $151.57 / $208.95 / $256.77	Facility		$151.57	$208.95	$256.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $347.18 / $463.67 / $828.31	Professional		$347.18	$463.67	$828.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $471.20 / $490.00 / $882.58	Facility		$471.20	$490.00	$882.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.86 / $310.68 / $665.68	Professional		$198.86	$310.68	$665.68
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $149.72 / $216.65 / $324.98	Professional		$149.72	$216.65	$324.98
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 $189.76 / $399.51 / $727.74	Professional		$189.76	$399.51	$727.74