Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.58 / $703.00 / $2,493.00	Facility		$103.58	$703.00	$2,493.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.43 / $106.26 / $171.96	Professional		$60.43	$106.26	$171.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $203.61 / $203.61 / $203.61	Professional		$203.61	$203.61	$203.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $866.69 / $866.69 / $1,040.03	Facility		$866.69	$866.69	$1,040.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.09 / $116.33 / $199.09	Professional		$79.09	$116.33	$199.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $82.65 / $91.17 / $237.09	Facility		$82.65	$91.17	$237.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $149.13 / $149.13 / $155.10	Professional		$149.13	$149.13	$155.10
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 $94.50 / $143.19 / $248.42	Professional		$94.50	$143.19	$248.42
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 $101.10 / $159.05 / $226.35	Professional		$101.10	$159.05	$226.35