Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.66 / $572.00 / $2,812.00	Facility		$113.66	$572.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.21 / $140.57 / $239.71	Professional		$82.21	$140.57	$239.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.60 / $69.81 / $113.78	Professional		$43.60	$69.81	$113.78
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 $84.38 / $124.09 / $259.95	Professional		$84.38	$124.09	$259.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $72.79 / $100.51 / $124.10	Facility		$72.79	$100.51	$124.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $159.81 / $213.38 / $380.91	Professional		$159.81	$213.38	$380.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $471.20 / $541.88	Facility		$366.00	$471.20	$541.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.08 / $143.40 / $306.39	Professional		$94.08	$143.40	$306.39
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $80.29 / $130.85 / $137.46	Professional		$80.29	$130.85	$137.46
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 $142.72 / $210.18 / $332.04	Professional		$142.72	$210.18	$332.04