Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $271.52 / $1,218.00 / $2,554.67	Facility		$271.52	$1,218.00	$2,554.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.37 / $299.89 / $802.18	Professional		$195.37	$299.89	$802.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $139.56 / $323.93 / $356.66	Professional		$139.56	$323.93	$356.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,771.26 / $1,771.26 / $2,019.24	Facility		$1,771.26	$1,771.26	$2,019.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.70 / $303.97 / $685.11	Professional		$206.70	$303.97	$685.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $178.84 / $246.51 / $302.74	Facility		$178.84	$246.51	$302.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $413.48 / $552.23 / $986.54	Professional		$413.48	$552.23	$986.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.00 / $494.00 / $882.58	Facility		$420.00	$494.00	$882.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.46 / $370.39 / $815.49	Professional		$232.46	$370.39	$815.49
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $354.68 / $380.62 / $410.16	Professional		$354.68	$380.62	$410.16
United Facility/Professional Facility Modifier Low / Median / High Price $505.00 / $1,230.00 / $2,558.00	Facility		$505.00	$1,230.00	$2,558.00
United Facility/Professional Professional Modifier Low / Median / High Price $217.72 / $490.10 / $906.36	Professional		$217.72	$490.10	$906.36