Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $448.47 / $989.00 / $3,361.63	Facility		$448.47	$989.00	$3,361.63
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $157.47 / $249.66 / $365.81	Facility	52	$157.47	$249.66	$365.81
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $62.99 / $99.86 / $146.32	Facility	53	$62.99	$99.86	$146.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.22 / $432.92 / $752.58	Professional		$269.22	$432.92	$752.58
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $53.84 / $85.56 / $111.87	Professional	53	$53.84	$85.56	$111.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $210.75 / $420.02 / $670.44	Professional		$210.75	$420.02	$670.44
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 $267.91 / $393.99 / $633.36	Professional		$267.91	$393.99	$633.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $231.88 / $319.50 / $392.02	Facility		$231.88	$319.50	$392.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $388.93 / $520.87 / $937.22	Professional		$388.93	$520.87	$937.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $515.00 / $918.80	Facility		$490.00	$515.00	$918.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.38 / $489.54 / $770.23	Professional		$302.38	$489.54	$770.23
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $370.08 / $724.58 / $771.01	Professional		$370.08	$724.58	$771.01
United Facility/Professional Facility Modifier Low / Median / High Price $534.00 / $1,224.00 / $2,421.00	Facility		$534.00	$1,224.00	$2,421.00
United Facility/Professional Professional Modifier Low / Median / High Price $397.82 / $594.44 / $842.67	Professional		$397.82	$594.44	$842.67