Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $870.96 / $2,290.87	Facility		$112.20	$870.96	$2,290.87
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,288.25 / $2,041.74 / $3,715.35	Facility	50	$1,288.25	$2,041.74	$3,715.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $165.96 / $316.23	Professional		$85.11	$165.96	$316.23
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $131.83 / $281.84 / $831.76	Professional	50	$131.83	$281.84	$831.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $141.25 / $346.74	Professional		$61.66	$141.25	$346.74
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $114.82 / $204.17 / $295.12	Professional	50	$114.82	$204.17	$295.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $1,174.90	Facility		$870.96	$870.96	$1,174.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $134.90 / $263.03	Professional		$102.33	$134.90	$263.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $323.59	Facility		$117.49	$117.49	$323.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $194.98 / $346.74	Professional		$109.65	$194.98	$346.74
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $165.96 / $426.58	Professional		$70.79	$165.96	$426.58
Qualchoice Facility/Professional Professional Modifier 50 Low / Median / High Price $229.09 / $316.23 / $588.84	Professional	50	$229.09	$316.23	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $954.99 / $2,511.89	Facility		$331.13	$954.99	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $158.49 / $309.03	Professional		$85.11	$158.49	$309.03