Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.76 / $1,000.00 / $2,812.00	Facility		$152.76	$1,000.00	$2,812.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $790.92 / $790.92 / $806.00	Facility	50	$790.92	$790.92	$806.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.82 / $130.58 / $218.74	Professional		$97.82	$130.58	$218.74
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $143.00 / $415.61 / $748.00	Professional	50	$143.00	$415.61	$748.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $206.03 / $206.03 / $206.03	Professional		$206.03	$206.03	$206.03
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $286.08 / $286.08 / $286.08	Professional	50	$286.08	$286.08	$286.08
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 $119.07 / $157.59 / $199.96	Professional		$119.07	$157.59	$199.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $130.72 / $141.62 / $406.46	Facility		$130.72	$141.62	$406.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $156.94 / $156.94 / $163.22	Professional		$156.94	$156.94	$163.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.33 / $190.16 / $262.89	Professional		$126.33	$190.16	$262.89
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 $111.45 / $157.02 / $256.32	Professional		$111.45	$157.02	$256.32