Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $794.33 / $2,041.74	Facility		$64.57	$794.33	$2,041.74
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $338.84 / $1,148.15 / $2,454.71	Facility	50	$338.84	$1,148.15	$2,454.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $87.10 / $223.87	Professional		$47.86	$87.10	$223.87
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $72.44 / $134.90 / $512.86	Professional	50	$72.44	$134.90	$512.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $79.43 / $138.04	Professional		$44.67	$79.43	$138.04
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $64.57 / $117.49 / $190.55	Professional	50	$64.57	$117.49	$190.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $134.90	Professional		$102.33	$102.33	$134.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $151.36	Facility		$66.07	$66.07	$151.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
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 $61.66 / $104.71 / $181.97	Professional		$61.66	$104.71	$181.97
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $104.71 / $208.93	Professional		$77.62	$104.71	$208.93
Qualchoice Facility/Professional Professional Modifier 50 Low / Median / High Price $114.82 / $141.25 / $309.03	Professional	50	$114.82	$141.25	$309.03
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 $48.98 / $85.11 / $162.18	Professional		$48.98	$85.11	$162.18