Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $347.46 / $1,342.00 / $2,927.00	Facility		$347.46	$1,342.00	$2,927.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $124.43 / $182.85 / $383.52	Facility	52	$124.43	$182.85	$383.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.12 / $307.01 / $833.36	Professional		$209.12	$307.01	$833.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $226.14 / $315.36 / $970.78	Professional		$226.14	$315.36	$970.78
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 $211.32 / $310.76 / $863.22	Professional		$211.32	$310.76	$863.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $176.44 / $265.16 / $328.35	Facility		$176.44	$265.16	$328.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,225.02 / $1,225.02 / $1,225.02	Professional		$1,225.02	$1,225.02	$1,225.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $494.00 / $930.22	Facility		$490.00	$494.00	$930.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $247.11 / $434.07 / $1,120.33	Professional		$247.11	$434.07	$1,120.33
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $328.70 / $390.10 / $1,116.40	Professional		$328.70	$390.10	$1,116.40
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 $283.17 / $674.51 / $1,223.30	Professional		$283.17	$674.51	$1,223.30