Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.34 / $564.55 / $2,500.00	Facility		$84.34	$564.55	$2,500.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $286.00 / $286.00 / $286.00	Facility	50	$286.00	$286.00	$286.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $73.56 / $129.87	Professional		$40.74	$73.56	$129.87
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $155.33 / $155.33 / $155.33	Professional	50	$155.33	$155.33	$155.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.13 / $104.29 / $142.03	Professional		$60.13	$104.29	$142.03
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $90.19 / $90.19 / $181.55	Professional	50	$90.19	$90.19	$181.55
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 $47.20 / $69.41 / $111.11	Professional		$47.20	$69.41	$111.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.73 / $53.54 / $162.05	Facility		$48.73	$53.54	$162.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $82.55 / $82.55 / $85.85	Professional		$82.55	$82.55	$85.85
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 $63.30 / $103.00 / $164.04	Professional		$63.30	$103.00	$164.04
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $69.15 / $129.56 / $163.33	Professional		$69.15	$129.56	$163.33
Qualchoice Facility/Professional Professional Modifier 50 Low / Median / High Price $103.72 / $103.72 / $208.78	Professional	50	$103.72	$103.72	$208.78
United Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $811.00 / $1,574.00	Facility		$330.00	$811.00	$1,574.00
United Facility/Professional Professional Modifier Low / Median / High Price $63.27 / $105.52 / $154.01	Professional		$63.27	$105.52	$154.01