Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.91 / $975.00 / $2,500.00	Facility		$230.91	$975.00	$2,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.04 / $214.15 / $400.08	Professional		$162.04	$214.15	$400.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $247.53 / $247.53 / $247.53	Professional		$247.53	$247.53	$247.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $253.48 / $335.48 / $335.48	Professional		$253.48	$335.48	$335.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $248.72 / $248.72 / $248.72	Facility		$248.72	$248.72	$248.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $199.85 / $207.84 / $384.44	Professional		$199.85	$207.84	$384.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $262.10 / $320.16 / $416.86	Professional		$262.10	$320.16	$416.86
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $337.00 / $858.00	Facility		$130.00	$337.00	$858.00
United Facility/Professional Professional Modifier Low / Median / High Price $165.89 / $248.67 / $356.42	Professional		$165.89	$248.67	$356.42