Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.74 / $870.90 / $2,812.00	Facility		$133.74	$870.90	$2,812.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,273.58 / $2,334.77 / $2,825.08	Facility	50	$1,273.58	$2,334.77	$2,825.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.66 / $144.00 / $244.35	Professional		$86.66	$144.00	$244.35
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $124.01 / $271.77 / $612.00	Professional	50	$124.01	$271.77	$612.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $70.92 / $141.85	Professional		$65.66	$70.92	$141.85
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $196.97 / $216.90 / $395.88	Professional	50	$196.97	$216.90	$395.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $866.69 / $866.69 / $1,040.03	Facility		$866.69	$866.69	$1,040.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.18 / $150.27 / $261.89	Professional		$102.18	$150.27	$261.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $106.81 / $117.15 / $326.52	Facility		$106.81	$117.15	$326.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $196.44 / $196.44 / $204.30	Professional		$196.44	$196.44	$204.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $726.58 / $726.58 / $726.58	Facility		$726.58	$726.58	$726.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.93 / $203.87 / $353.83	Professional		$129.93	$203.87	$353.83
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 $158.97 / $244.80 / $399.46	Professional		$158.97	$244.80	$399.46