Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $794.33 / $1,862.09	Facility		$77.62	$794.33	$1,862.09
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $218.78 / $724.44 / $1,412.54	Facility	50	$218.78	$724.44	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $93.33 / $302.00	Professional		$56.23	$93.33	$302.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $83.18 / $134.90 / $389.05	Professional	50	$83.18	$134.90	$389.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $87.10 / $147.91	Professional		$47.86	$87.10	$147.91
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $69.18 / $131.83 / $208.93	Professional	50	$69.18	$131.83	$208.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $144.54	Professional		$109.65	$109.65	$144.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $173.78	Facility		$77.62	$77.62	$173.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $120.23 / $194.98	Professional		$70.79	$120.23	$194.98
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $138.04 / $218.78	Professional		$100.00	$138.04	$218.78
Qualchoice Facility/Professional Professional Modifier 50 Low / Median / High Price $131.83 / $165.96 / $331.13	Professional	50	$131.83	$165.96	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $331.13 / $851.14	Facility		$128.82	$331.13	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $93.33 / $173.78	Professional		$57.54	$93.33	$173.78