Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.24 / $803.00 / $2,812.00	Facility		$172.24	$803.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.95 / $147.63 / $260.76	Professional		$111.95	$147.63	$260.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.31 / $178.14 / $209.58	Professional		$154.31	$178.14	$209.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $276.52 / $276.52 / $331.84	Facility		$276.52	$276.52	$331.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.38 / $176.54 / $221.81	Professional		$133.38	$176.54	$221.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $146.43 / $158.68 / $457.91	Facility		$146.43	$158.68	$457.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $173.24 / $173.24 / $180.17	Professional		$173.24	$173.24	$180.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.08 / $216.92 / $298.83	Professional		$153.08	$216.92	$298.83
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $204.86 / $204.86 / $241.02	Professional		$204.86	$204.86	$241.02
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 $134.12 / $185.21 / $272.89	Professional		$134.12	$185.21	$272.89