Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $2,089.30 / $3,388.44	Facility		$416.87	$2,089.30	$3,388.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $501.19 / $2,630.27	Professional		$234.42	$501.19	$2,630.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $295.12 / $2,691.53	Professional		$173.78	$295.12	$2,691.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $6,456.54	Facility		$4,677.35	$4,677.35	$6,456.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $323.59 / $2,691.53	Professional		$245.47	$323.59	$2,691.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $3,981.07	Professional		$2,187.76	$2,187.76	$3,981.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility		$3,715.35	$3,715.35	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $616.60 / $3,235.94	Professional		$389.05	$616.60	$3,235.94
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $407.38 / $3,388.44	Professional		$199.53	$407.38	$3,388.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,951.21 / $10,232.93	Facility		$1,230.27	$2,951.21	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $562.34 / $3,019.95	Professional		$239.88	$562.34	$3,019.95