Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.41 / $1,000.00 / $2,812.00	Facility		$87.41	$1,000.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.18 / $98.76 / $173.01	Professional		$64.18	$98.76	$173.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.88 / $152.09 / $170.41	Professional		$147.88	$152.09	$170.41
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 $66.31 / $97.51 / $145.94	Professional		$66.31	$97.51	$145.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $96.12 / $96.12 / $96.12	Facility		$96.12	$96.12	$96.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $122.93 / $127.84 / $232.60	Professional		$122.93	$127.84	$232.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.16 / $154.16 / $154.16	Facility		$154.16	$154.16	$154.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.73 / $124.69 / $172.67	Professional		$79.73	$124.69	$172.67
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $195.97 / $195.97 / $204.68	Professional		$195.97	$195.97	$204.68
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 $89.64 / $113.23 / $197.72	Professional		$89.64	$113.23	$197.72