Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.17 / $975.00 / $2,812.00	Facility		$91.17	$975.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.34 / $118.68 / $190.15	Professional		$76.34	$118.68	$190.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $199.57 / $199.57 / $199.57	Professional		$199.57	$199.57	$199.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $715.46 / $715.46 / $858.55	Facility		$715.46	$715.46	$858.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.30 / $110.74 / $201.79	Professional		$75.30	$110.74	$201.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $107.55 / $107.55 / $107.55	Facility		$107.55	$107.55	$107.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $166.54 / $173.20 / $311.69	Professional		$166.54	$173.20	$311.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $685.68 / $685.68 / $685.68	Facility		$685.68	$685.68	$685.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.00 / $139.63 / $236.16	Professional		$89.00	$139.63	$236.16
United Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $811.00 / $2,285.00	Facility		$330.00	$811.00	$2,285.00
United Facility/Professional Professional Modifier Low / Median / High Price $118.66 / $157.44 / $271.72	Professional		$118.66	$157.44	$271.72