Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.32 / $975.00 / $2,812.00	Facility		$134.32	$975.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.64 / $146.49 / $211.06	Professional		$110.64	$146.49	$211.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $227.52 / $227.52 / $227.52	Professional		$227.52	$227.52	$227.52
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 $108.69 / $159.84 / $214.52	Professional		$108.69	$159.84	$214.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $157.86 / $157.86 / $157.86	Facility		$157.86	$157.86	$157.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $182.73 / $190.03 / $346.78	Professional		$182.73	$190.03	$346.78
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 $162.29 / $203.95 / $259.18	Professional		$162.29	$203.95	$259.18
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $360.00 / $768.00	Facility		$130.00	$360.00	$768.00
United Facility/Professional Professional Modifier Low / Median / High Price $136.76 / $189.27 / $309.37	Professional		$136.76	$189.27	$309.37