Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $296.01 / $1,305.00 / $5,769.23	Facility		$296.01	$1,305.00	$5,769.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.84 / $418.39 / $728.80	Professional		$237.84	$418.39	$728.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $369.51 / $468.66 / $598.16	Professional		$369.51	$468.66	$598.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,886.47 / $1,886.47 / $2,263.76	Facility		$1,886.47	$1,886.47	$2,263.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.55 / $335.76 / $444.38	Professional		$232.55	$335.76	$444.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $324.06 / $324.06 / $324.06	Facility		$324.06	$324.06	$324.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $372.30 / $387.19 / $696.10	Professional		$372.30	$387.19	$696.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,349.57 / $2,349.57 / $2,349.57	Facility		$2,349.57	$2,349.57	$2,349.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.48 / $486.89 / $644.70	Professional		$306.48	$486.89	$644.70
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $424.94 / $573.49 / $687.90	Professional		$424.94	$573.49	$687.90
United Facility/Professional Facility Modifier Low / Median / High Price $980.00 / $2,052.00 / $4,097.02	Facility		$980.00	$2,052.00	$4,097.02
United Facility/Professional Professional Modifier Low / Median / High Price $332.32 / $481.02 / $702.63	Professional		$332.32	$481.02	$702.63