Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.56 / $803.00 / $2,812.00	Facility		$226.56	$803.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.46 / $245.36 / $473.17	Professional		$177.46	$245.36	$473.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $202.68 / $304.02 / $399.32	Professional		$202.68	$304.02	$399.32
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 $204.47 / $298.57 / $395.17	Professional		$204.47	$298.57	$395.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $176.90 / $245.40 / $306.72	Facility		$176.90	$245.40	$306.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $246.50 / $330.64 / $594.40	Professional		$246.50	$330.64	$594.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.64 / $366.00 / $541.38	Facility		$178.64	$366.00	$541.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.93 / $319.80 / $469.79	Professional		$184.93	$319.80	$469.79
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $233.08 / $349.63 / $459.22	Professional		$233.08	$349.63	$459.22
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 $211.68 / $283.94 / $534.90	Professional		$211.68	$283.94	$534.90