Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.65 / $624.00 / $2,812.00	Facility		$94.65	$624.00	$2,812.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $115.05 / $523.48 / $523.48	Facility	50	$115.05	$523.48	$523.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.64 / $79.78 / $124.88	Professional		$49.64	$79.78	$124.88
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $73.88 / $196.18 / $306.26	Professional	50	$73.88	$196.18	$306.26
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $190.69 / $190.69 / $190.69	Professional	50	$190.69	$190.69	$190.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.61 / $86.19 / $134.87	Professional		$58.61	$86.19	$134.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $60.35 / $66.45 / $153.05	Facility		$60.35	$66.45	$153.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $100.48 / $100.48 / $104.49	Professional		$100.48	$100.48	$104.49
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 $75.01 / $117.56 / $182.26	Professional		$75.01	$117.56	$182.26
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $328.00 / $858.00	Facility		$130.00	$328.00	$858.00
United Facility/Professional Professional Modifier Low / Median / High Price $78.30 / $121.05 / $207.09	Professional		$78.30	$121.05	$207.09