Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.24 / $738.00 / $2,500.00	Facility		$92.24	$738.00	$2,500.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $43.94 / $73.31 / $148.21	Facility	52	$43.94	$73.31	$148.21
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $17.57 / $29.33 / $59.28	Facility	53	$17.57	$29.33	$59.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.84 / $157.77 / $470.00	Professional		$71.84	$157.77	$470.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.03 / $103.29 / $119.86	Professional		$56.03	$103.29	$119.86
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 $76.40 / $112.35 / $394.48	Professional		$76.40	$112.35	$394.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.28 / $91.61 / $113.23	Facility		$66.28	$91.61	$113.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $237.34 / $316.29 / $561.14	Professional		$237.34	$316.29	$561.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $458.17 / $526.89	Facility		$366.00	$458.17	$526.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.05 / $179.14 / $448.62	Professional		$84.05	$179.14	$448.62
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $64.43 / $128.32 / $195.50	Professional		$64.43	$128.32	$195.50
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 $166.37 / $271.64 / $500.26	Professional		$166.37	$271.64	$500.26