Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.42 / $975.00 / $2,812.00	Facility		$77.42	$975.00	$2,812.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $34.15 / $57.42 / $96.99	Facility	52	$34.15	$57.42	$96.99
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $13.66 / $22.97 / $38.79	Facility	53	$13.66	$22.97	$38.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.18 / $126.53 / $313.30	Professional		$59.18	$126.53	$313.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.76 / $87.51 / $117.09	Professional		$43.76	$87.51	$117.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $845.19 / $845.19 / $963.52	Facility		$845.19	$845.19	$963.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.81 / $87.96 / $257.08	Professional		$59.81	$87.96	$257.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $52.00 / $71.98 / $89.25	Facility		$52.00	$71.98	$89.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $157.31 / $209.95 / $373.38	Professional		$157.31	$209.95	$373.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $160.16 / $450.00	Facility		$110.00	$160.16	$450.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.79 / $145.29 / $291.63	Professional		$66.79	$145.29	$291.63
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $46.52 / $93.02 / $295.16	Professional		$46.52	$93.02	$295.16
United Facility/Professional Facility Modifier Low / Median / High Price $304.00 / $755.00 / $1,533.00	Facility		$304.00	$755.00	$1,533.00
United Facility/Professional Professional Modifier Low / Median / High Price $131.38 / $179.73 / $327.38	Professional		$131.38	$179.73	$327.38