Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $546.86 / $3,178.16 / $9,034.00	Facility		$546.86	$3,178.16	$9,034.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,852.62 / $9,034.00 / $21,516.92	Facility	50	$3,852.62	$9,034.00	$21,516.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $383.69 / $508.20 / $1,213.85	Professional		$383.69	$508.20	$1,213.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $356.23 / $661.13 / $784.47	Professional		$356.23	$661.13	$784.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,300.93 / $5,300.93 / $6,043.06	Facility		$5,300.93	$5,300.93	$6,043.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $454.41 / $601.42 / $668.25	Professional		$454.41	$601.42	$668.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $402.18 / $559.10 / $693.90	Facility		$402.18	$559.10	$693.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $378.97 / $522.83 / $976.62	Professional		$378.97	$522.83	$976.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $515.00 / $693.00 / $4,726.62	Facility		$515.00	$693.00	$4,726.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $420.20 / $625.20 / $768.30	Professional		$420.20	$625.20	$768.30
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $380.16 / $706.01 / $819.33	Professional		$380.16	$706.01	$819.33
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $3,347.00 / $8,676.00	Facility		$2,000.00	$3,347.00	$8,676.00
United Facility/Professional Professional Modifier Low / Median / High Price $374.85 / $527.80 / $862.55	Professional		$374.85	$527.80	$862.55