Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $1,000.00 / $1,819.70	Facility		$134.90	$1,000.00	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $234.42 / $478.63	Professional		$100.00	$234.42	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $154.88 / $363.08	Professional		$91.20	$154.88	$363.08
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 $120.23 / $162.18 / $389.05	Professional		$120.23	$162.18	$389.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $389.05	Facility		$138.04	$138.04	$389.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $234.42 / $478.63	Professional		$120.23	$234.42	$478.63
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $208.93 / $524.81	Professional		$165.96	$208.93	$524.81
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 $102.33 / $229.09 / $407.38	Professional		$102.33	$229.09	$407.38