Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $340.49 / $1,277.00 / $3,695.39	Facility		$340.49	$1,277.00	$3,695.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.40 / $408.72 / $648.79	Professional		$241.40	$408.72	$648.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $413.57 / $413.57 / $413.57	Professional		$413.57	$413.57	$413.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,101.34 / $1,101.34 / $1,255.54	Facility		$1,101.34	$1,101.34	$1,255.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.13 / $351.66 / $676.47	Professional		$239.13	$351.66	$676.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $208.98 / $288.50 / $354.22	Facility		$208.98	$288.50	$354.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $413.15 / $554.53 / $997.88	Professional		$413.15	$554.53	$997.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.00 / $515.00 / $681.35	Facility		$420.00	$515.00	$681.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.32 / $447.11 / $814.65	Professional		$272.32	$447.11	$814.65
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $475.61 / $475.61 / $475.61	Professional		$475.61	$475.61	$475.61
United Facility/Professional Facility Modifier Low / Median / High Price $505.00 / $1,063.00 / $2,539.00	Facility		$505.00	$1,063.00	$2,539.00
United Facility/Professional Professional Modifier Low / Median / High Price $413.15 / $580.54 / $884.36	Professional		$413.15	$580.54	$884.36