Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.91 / $1,064.00 / $2,477.00	Facility		$76.91	$1,064.00	$2,477.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.38 / $114.42 / $394.21	Professional		$59.38	$114.42	$394.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.63 / $91.26 / $94.62	Professional		$82.63	$91.26	$94.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.68 / $84.82 / $314.62	Professional		$57.68	$84.82	$314.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.69 / $71.98 / $81.05	Facility		$54.69	$71.98	$81.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $196.50 / $231.93 / $284.37	Professional		$196.50	$231.93	$284.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.11 / $156.69 / $327.84	Professional		$69.11	$156.69	$327.84
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $95.02 / $104.95 / $108.81	Professional		$95.02	$104.95	$108.81
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $337.00 / $768.00	Facility		$130.00	$337.00	$768.00
United Facility/Professional Professional Modifier Low / Median / High Price $125.26 / $199.58 / $449.50	Professional		$125.26	$199.58	$449.50