Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.52 / $1,821.00 / $3,685.55	Facility		$255.52	$1,821.00	$3,685.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.05 / $255.52 / $449.08	Professional		$186.05	$255.52	$449.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $291.01 / $337.71 / $337.71	Professional		$291.01	$337.71	$337.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $227.12 / $283.89 / $300.60	Professional		$227.12	$283.89	$300.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $251.08 / $272.52 / $631.34	Facility		$251.08	$272.52	$631.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $243.33 / $243.33 / $253.06	Professional		$243.33	$243.33	$253.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,967.35 / $4,967.35 / $4,967.35	Facility		$4,967.35	$4,967.35	$4,967.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.84 / $367.80 / $493.00	Professional		$238.84	$367.80	$493.00
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $334.66 / $334.66 / $334.66	Professional		$334.66	$334.66	$334.66
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 $188.05 / $262.01 / $420.04	Professional		$188.05	$262.01	$420.04