Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.05 / $803.00 / $3,109.00	Facility		$130.05	$803.00	$3,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.78 / $255.67 / $493.13	Professional		$90.78	$255.67	$493.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $146.16 / $164.93 / $166.58	Professional		$146.16	$164.93	$166.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,525.10 / $1,525.10 / $1,738.61	Facility		$1,525.10	$1,525.10	$1,738.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.89 / $136.60 / $412.65	Professional		$92.89	$136.60	$412.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $80.22 / $110.30 / $134.97	Facility		$80.22	$110.30	$134.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $250.22 / $332.93 / $590.96	Professional		$250.22	$332.93	$590.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $515.00 / $975.46	Facility		$366.00	$515.00	$975.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.71 / $214.56 / $523.69	Professional		$105.71	$214.56	$523.69
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $168.10 / $189.67 / $191.57	Professional		$168.10	$189.67	$191.57
United Facility/Professional Facility Modifier Low / Median / High Price $505.00 / $1,106.00 / $2,539.00	Facility		$505.00	$1,106.00	$2,539.00
United Facility/Professional Professional Modifier Low / Median / High Price $266.00 / $355.28 / $602.73	Professional		$266.00	$355.28	$602.73