Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $630.96 / $1,862.09	Facility		$66.07	$630.96	$1,862.09
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $114.82 / $114.82 / $524.81	Facility	50	$114.82	$114.82	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $83.18 / $144.54	Professional		$48.98	$83.18	$144.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $74.13 / $154.88 / $380.19	Professional	50	$74.13	$154.88	$380.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $89.13 / $181.97	Professional		$44.67	$89.13	$181.97
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $102.33 / $141.25 / $263.03	Professional	50	$102.33	$141.25	$263.03
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 / $66.07	Facility		$66.07	$66.07	$66.07
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 / $107.15 / $181.97	Professional		$61.66	$107.15	$181.97
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $165.96 / $213.80	Professional		$79.43	$165.96	$213.80
Qualchoice Facility/Professional Professional Modifier 50 Low / Median / High Price $117.49 / $169.82 / $354.81	Professional	50	$117.49	$169.82	$354.81
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