Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $1,000.00 / $2,041.74	Facility		$93.33	$1,000.00	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $89.13 / $239.88	Professional		$66.07	$89.13	$239.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $85.11 / $120.23	Professional		$66.07	$85.11	$120.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $134.90 / $251.19	Professional		$91.20	$134.90	$251.19
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $125.89 / $144.54	Professional		$114.82	$125.89	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $1,071.52 / $2,570.40	Facility		$371.54	$1,071.52	$2,570.40
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $83.18 / $154.88	Professional		$64.57	$83.18	$154.88