Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $794.33 / $2,041.74	Facility		$162.18	$794.33	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $213.80 / $467.74	Professional		$144.54	$213.80	$467.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $223.87 / $316.23	Professional		$181.97	$223.87	$316.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $302.00	Professional		$229.09	$229.09	$302.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $588.84	Professional		$309.03	$309.03	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $229.09 / $371.54	Professional		$154.88	$229.09	$371.54
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $354.81 / $467.74	Professional		$190.55	$354.81	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $758.58 / $2,570.40	Facility		$162.18	$758.58	$2,570.40
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $173.78 / $363.08	Professional		$123.03	$173.78	$363.08