Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.24 / $803.00 / $3,659.04	Facility		$96.24	$803.00	$3,659.04
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $47.19 / $70.15 / $110.04	Facility	52	$47.19	$70.15	$110.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.78 / $124.36 / $220.08	Professional		$67.78	$124.36	$220.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.20 / $124.80 / $203.35	Professional		$83.20	$124.80	$203.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $655.30 / $655.30 / $786.37	Facility		$655.30	$655.30	$786.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.13 / $103.13 / $212.73	Professional		$70.13	$103.13	$212.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $76.86 / $83.90 / $283.01	Facility		$76.86	$83.90	$283.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $161.79 / $161.79 / $168.26	Professional		$161.79	$161.79	$168.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.59 / $375.59 / $375.59	Facility		$375.59	$375.59	$375.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.40 / $152.00 / $289.86	Professional		$94.40	$152.00	$289.86
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $104.55 / $233.85 / $233.85	Professional		$104.55	$233.85	$233.85
United Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $811.00 / $1,574.00	Facility		$330.00	$811.00	$1,574.00
United Facility/Professional Professional Modifier Low / Median / High Price $124.65 / $170.65 / $273.57	Professional		$124.65	$170.65	$273.57