Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.34 / $1,064.00 / $2,808.80	Facility		$200.34	$1,064.00	$2,808.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.93 / $228.44 / $348.05	Professional		$99.93	$228.44	$348.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $155.74 / $165.72 / $360.79	Professional		$155.74	$165.72	$360.79
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 $121.52 / $178.71 / $386.70	Professional		$121.52	$178.71	$386.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $126.15 / $138.63 / $388.64	Facility		$126.15	$138.63	$388.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $285.13 / $285.13 / $296.52	Professional		$285.13	$285.13	$296.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.91 / $241.18 / $510.59	Professional		$150.91	$241.18	$510.59
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $179.10 / $179.10 / $190.58	Professional		$179.10	$179.10	$190.58
United Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $811.00 / $2,285.00	Facility		$330.00	$811.00	$2,285.00
United Facility/Professional Professional Modifier Low / Median / High Price $226.08 / $329.31 / $503.06	Professional		$226.08	$329.31	$503.06