Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.59 / $1,083.00 / $3,109.00	Facility		$164.59	$1,083.00	$3,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.72 / $156.65 / $257.72	Professional		$131.72	$156.65	$257.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $238.58 / $239.15 / $265.08	Professional		$238.58	$239.15	$265.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $296.93 / $296.93 / $356.32	Facility		$296.93	$296.93	$356.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.56 / $176.77 / $224.16	Professional		$133.56	$176.77	$224.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $192.65 / $192.65 / $192.65	Facility		$192.65	$192.65	$192.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $191.94 / $199.62 / $365.66	Professional		$191.94	$199.62	$365.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $343.95 / $343.95 / $343.95	Facility		$343.95	$343.95	$343.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.68 / $236.06 / $276.04	Professional		$172.68	$236.06	$276.04
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $274.37 / $275.02 / $304.85	Professional		$274.37	$275.02	$304.85
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $337.00 / $858.00	Facility		$130.00	$337.00	$858.00
United Facility/Professional Professional Modifier Low / Median / High Price $142.25 / $169.98 / $318.61	Professional		$142.25	$169.98	$318.61