Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $794.33 / $2,511.89	Facility		$97.72	$794.33	$2,511.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $131.83 / $331.13	Professional		$61.66	$131.83	$331.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $77.62 / $123.03	Professional		$57.54	$77.62	$123.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $891.25	Facility		$660.69	$660.69	$891.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $93.33 / $213.80	Professional		$70.79	$93.33	$213.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Facility		$83.18	$83.18	$83.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $147.91 / $281.84	Professional		$85.11	$147.91	$281.84
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $120.23 / $144.54	Professional		$104.71	$120.23	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $912.01 / $2,089.30	Facility		$331.13	$912.01	$2,089.30
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $128.82 / $234.42	Professional		$61.66	$128.82	$234.42