Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.04 / $803.00 / $2,812.00	Facility		$77.04	$803.00	$2,812.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $219.03 / $720.75 / $1,402.64	Facility	50	$219.03	$720.75	$1,402.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.53 / $89.50 / $136.59	Professional		$57.53	$89.50	$136.59
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $83.54 / $139.91 / $319.95	Professional	50	$83.54	$139.91	$319.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $129.59 / $129.59 / $143.47	Professional	50	$129.59	$129.59	$143.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.97 / $98.48 / $144.50	Professional		$66.97	$98.48	$144.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.38 / $77.36 / $174.30	Facility		$70.38	$77.36	$174.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $109.85 / $109.85 / $114.24	Professional		$109.85	$109.85	$114.24
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 $80.37 / $133.91 / $196.98	Professional		$80.37	$133.91	$196.98
Qualchoice Facility/Professional Professional Modifier 50 Low / Median / High Price $149.03 / $149.03 / $149.03	Professional	50	$149.03	$149.03	$149.03
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $328.00 / $858.00	Facility		$130.00	$328.00	$858.00
United Facility/Professional Professional Modifier Low / Median / High Price $85.40 / $127.61 / $227.53	Professional		$85.40	$127.61	$227.53