Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.42 / $803.00 / $2,812.00	Facility		$75.42	$803.00	$2,812.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $341.10 / $1,157.35 / $2,361.19	Facility	50	$341.10	$1,157.35	$2,361.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.54 / $79.12 / $123.01	Professional		$48.54	$79.12	$123.01
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $71.12 / $147.49 / $313.64	Professional	50	$71.12	$147.49	$313.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.04 / $74.04 / $79.98	Professional		$74.04	$74.04	$79.98
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $111.06 / $192.18 / $204.50	Professional	50	$111.06	$192.18	$204.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $84.58 / $134.87	Professional		$57.51	$84.58	$134.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $60.08 / $66.09 / $151.03	Facility		$60.08	$66.09	$151.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $101.58 / $101.58 / $105.64	Professional		$101.58	$101.58	$105.64
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 $73.64 / $116.14 / $180.80	Professional		$73.64	$116.14	$180.80
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $85.15 / $85.15 / $85.15	Professional		$85.15	$85.15	$85.15
Qualchoice Facility/Professional Professional Modifier 50 Low / Median / High Price $127.72 / $221.01 / $235.18	Professional	50	$127.72	$221.01	$235.18
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $328.00 / $768.00	Facility		$130.00	$328.00	$768.00
United Facility/Professional Professional Modifier Low / Median / High Price $79.44 / $119.22 / $191.13	Professional		$79.44	$119.22	$191.13