Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $1,230.27 / $2,630.27	Facility		$338.84	$1,230.27	$2,630.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $446.68 / $676.08	Professional		$218.78	$446.68	$676.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $302.00 / $416.87	Professional		$257.04	$302.00	$416.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,513.56	Facility		$1,096.48	$1,096.48	$1,513.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $316.23 / $676.08	Professional		$239.88	$316.23	$676.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $275.42 / $389.05	Facility		$208.93	$275.42	$389.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $562.34 / $1,023.29	Professional		$446.68	$562.34	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $512.86 / $912.01	Facility		$416.87	$512.86	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $426.58 / $776.25	Professional		$239.88	$426.58	$776.25
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $478.63	Professional		$346.74	$346.74	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,096.48 / $3,388.44	Facility		$537.03	$1,096.48	$3,388.44
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $436.52 / $741.31	Professional		$223.87	$436.52	$741.31