Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $1,071.52 / $2,630.27	Facility		$177.83	$1,071.52	$2,630.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $239.88 / $380.19	Professional		$123.03	$239.88	$380.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $131.83 / $208.93	Professional		$109.65	$131.83	$208.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $2,570.40	Facility		$1,905.46	$1,905.46	$2,570.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $177.83 / $398.11	Professional		$134.90	$177.83	$398.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $602.56	Professional		$323.59	$323.59	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Facility		$2,570.40	$2,570.40	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $295.12 / $524.81	Professional		$181.97	$295.12	$524.81
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $234.42 / $239.88	Professional		$173.78	$234.42	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $2,137.96 / $6,025.60	Facility		$977.24	$2,137.96	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $269.15 / $524.81	Professional		$125.89	$269.15	$524.81