Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.46 / $690.00 / $2,812.00	Facility		$58.46	$690.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.31 / $45.67 / $75.34	Professional		$32.31	$45.67	$75.34
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $68.27 / $113.01 / $161.29	Professional	50	$68.27	$113.01	$161.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.48 / $71.75 / $77.51	Professional		$49.48	$71.75	$77.51
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $111.33 / $111.33 / $111.33	Professional	50	$111.33	$111.33	$111.33
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 $38.17 / $56.13 / $75.08	Professional		$38.17	$56.13	$75.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.40 / $43.58 / $126.74	Facility		$39.40	$43.58	$126.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.64 / $56.64 / $58.90	Professional		$56.64	$56.64	$58.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.91 / $257.91 / $257.91	Facility		$257.91	$257.91	$257.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.92 / $71.97 / $101.87	Professional		$45.92	$71.97	$101.87
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $56.90 / $56.90 / $85.35	Professional		$56.90	$56.90	$85.35
Qualchoice Facility/Professional Professional Modifier 50 Low / Median / High Price $128.03 / $128.03 / $128.03	Professional	50	$128.03	$128.03	$128.03
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $328.00 / $768.00	Facility		$130.00	$328.00	$768.00
United Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $64.73 / $98.55	Professional		$44.11	$64.73	$98.55