Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.17 / $240.30 / $2,493.00	Facility		$70.17	$240.30	$2,493.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.55 / $97.10 / $150.44	Professional		$53.55	$97.10	$150.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.87 / $105.87 / $142.62	Professional		$105.87	$105.87	$142.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $635.99 / $635.99 / $725.03	Facility		$635.99	$635.99	$725.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.70 / $64.27 / $116.87	Professional		$43.70	$64.27	$116.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.04 / $54.67 / $63.36	Facility		$39.04	$54.67	$63.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $76.89 / $96.16 / $185.85	Professional		$76.89	$96.16	$185.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.86 / $304.89 / $515.00	Facility		$50.86	$304.89	$515.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.25 / $110.75 / $179.95	Professional		$59.25	$110.75	$179.95
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $121.75 / $121.75 / $121.75	Professional		$121.75	$121.75	$121.75
United Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $306.00 / $768.00	Facility		$125.00	$306.00	$768.00
United Facility/Professional Professional Modifier Low / Median / High Price $74.72 / $116.93 / $182.04	Professional		$74.72	$116.93	$182.04