Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.17 / $803.00 / $2,812.00	Facility		$49.17	$803.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.57 / $82.20 / $214.19	Professional		$36.57	$82.20	$214.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $136.07 / $169.79 / $182.40	Professional		$136.07	$169.79	$182.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.09 / $118.09 / $134.62	Facility		$118.09	$118.09	$134.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.61 / $64.13 / $162.65	Professional		$43.61	$64.13	$162.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.74 / $52.29 / $65.12	Facility		$37.74	$52.29	$65.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $97.02 / $129.44 / $230.26	Professional		$97.02	$129.44	$230.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.53 / $515.00 / $515.00	Facility		$67.53	$515.00	$515.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.56 / $85.87 / $182.32	Professional		$41.56	$85.87	$182.32
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $156.47 / $195.26 / $209.76	Professional		$156.47	$195.26	$209.76
United Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $271.00 / $721.00	Facility		$95.00	$271.00	$721.00
United Facility/Professional Professional Modifier Low / Median / High Price $76.03 / $106.44 / $197.73	Professional		$76.03	$106.44	$197.73