Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $493.58 / $598.34	Facility		$380.19	$493.58	$598.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.65 / $466.11 / $668.00	Professional		$329.65	$466.11	$668.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.00 / $783.53 / $870.59	Professional		$67.00	$783.53	$870.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $374.20 / $495.27 / $645.83	Professional		$374.20	$495.27	$645.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $645.23 / $645.23 / $645.23	Facility		$645.23	$645.23	$645.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $643.28 / $669.01 / $1,252.03	Professional		$643.28	$669.01	$1,252.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.64 / $614.85 / $799.86	Professional		$436.64	$614.85	$799.86
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $77.05 / $655.50 / $1,001.18	Professional		$77.05	$655.50	$1,001.18
United Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $1,056.00 / $2,558.00	Facility		$375.00	$1,056.00	$2,558.00
United Facility/Professional Professional Modifier Low / Median / High Price $406.15 / $487.93 / $938.30	Professional		$406.15	$487.93	$938.30