Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.76 / $982.22 / $2,500.00	Facility		$70.76	$982.22	$2,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.11 / $82.33 / $164.29	Professional		$56.11	$82.33	$164.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.43 / $150.82 / $176.49	Professional		$54.43	$150.82	$176.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.17 / $75.25 / $145.72	Professional		$51.17	$75.25	$145.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $72.20 / $72.20 / $72.20	Facility		$72.20	$72.20	$72.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $120.41 / $125.23 / $224.09	Professional		$120.41	$125.23	$224.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.17 / $108.78 / $154.90	Professional		$84.17	$108.78	$154.90
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $106.41 / $106.41 / $202.96	Professional		$106.41	$106.41	$202.96
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $345.00 / $768.00	Facility		$130.00	$345.00	$768.00
United Facility/Professional Professional Modifier Low / Median / High Price $74.79 / $112.33 / $181.85	Professional		$74.79	$112.33	$181.85