Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $562.34 / $2,041.74	Facility		$83.18	$562.34	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $100.00 / $165.96	Professional		$57.54	$100.00	$165.96
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $338.84 / $346.74 / $346.74	Professional	50	$338.84	$346.74	$346.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $67.61 / $107.15	Professional		$34.67	$67.61	$107.15
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $77.62 / $77.62 / $77.62	Professional	50	$77.62	$77.62	$77.62
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 $72.44 / $95.50 / $173.78	Professional		$72.44	$95.50	$173.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $239.88	Facility		$83.18	$83.18	$239.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $123.03 / $213.80	Professional		$75.86	$123.03	$213.80
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $107.15 / $151.36	Professional		$61.66	$107.15	$151.36
Qualchoice Facility/Professional Professional Modifier 50 Low / Median / High Price $89.13 / $89.13 / $89.13	Professional	50	$89.13	$89.13	$89.13
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 $52.48 / $91.20 / $165.96	Professional		$52.48	$91.20	$165.96