Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.50 / $789.37 / $2,812.00	Facility		$93.50	$789.37	$2,812.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $420.62 / $429.00 / $1,550.61	Facility	50	$420.62	$429.00	$1,550.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.50 / $85.17 / $133.93	Professional		$56.50	$85.17	$133.93
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $70.67 / $250.73 / $528.00	Professional	50	$70.67	$250.73	$528.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $40.29 / $96.64	Professional		$40.29	$40.29	$96.64
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $111.91 / $111.91 / $239.88	Professional	50	$111.91	$111.91	$239.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $276.52 / $276.52 / $331.84	Facility		$276.52	$276.52	$331.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.09 / $83.19 / $110.11	Professional		$58.09	$83.19	$110.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.04 / $68.73 / $196.32	Facility		$63.04	$68.73	$196.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $85.49 / $85.49 / $88.91	Professional		$85.49	$85.49	$88.91
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 $75.75 / $112.10 / $174.11	Professional		$75.75	$112.10	$174.11
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $111.14 / $111.14 / $111.14	Professional		$111.14	$111.14	$111.14
Qualchoice Facility/Professional Professional Modifier 50 Low / Median / High Price $128.69 / $128.69 / $210.70	Professional	50	$128.69	$128.69	$210.70
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $345.00 / $768.00	Facility		$130.00	$345.00	$768.00
United Facility/Professional Professional Modifier Low / Median / High Price $67.23 / $109.51 / $161.32	Professional		$67.23	$109.51	$161.32