Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $2,511.89 / $8,511.38	Facility		$812.83	$2,511.89	$8,511.38
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Facility	50	$4,897.79	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $794.33 / $1,230.27	Professional		$537.03	$794.33	$1,230.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $616.60 / $954.99	Professional		$501.19	$616.60	$954.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $4,466.84	Facility		$3,235.94	$3,235.94	$4,466.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $741.31 / $977.24	Professional		$575.44	$741.31	$977.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $1,621.81	Professional		$870.96	$870.96	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Facility		$4,168.69	$4,168.69	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,023.29 / $1,380.38	Professional		$691.83	$1,023.29	$1,380.38
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $977.24 / $1,096.48	Professional		$691.83	$977.24	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $4,677.35 / $10,000.00	Facility		$2,089.30	$4,677.35	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $758.58 / $1,318.26	Professional		$537.03	$758.58	$1,318.26