Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,621.81 / $3,467.37	Facility		$354.81	$1,621.81	$3,467.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $416.87 / $1,479.11	Professional		$204.17	$416.87	$1,479.11
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $77.62 / $77.62 / $83.18	Professional	53	$77.62	$77.62	$83.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $269.15 / $1,445.44	Professional		$181.97	$269.15	$1,445.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $3,981.07	Facility		$2,884.03	$2,884.03	$3,981.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $309.03 / $1,698.24	Professional		$229.09	$309.03	$1,698.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $2,570.40	Professional		$1,412.54	$1,412.54	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility		$2,290.87	$2,290.87	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $446.68 / $2,290.87	Professional		$309.03	$446.68	$2,290.87
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $831.76 / $1,659.59	Professional		$575.44	$831.76	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $2,137.96 / $7,079.46	Facility		$977.24	$2,137.96	$7,079.46
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $398.11 / $2,089.30	Professional		$223.87	$398.11	$2,089.30