Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $397.29 / $1,298.26 / $5,584.64	Facility		$397.29	$1,298.26	$5,584.64
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $185.60 / $2,180.64 / $7,590.20	Facility	50	$185.60	$2,180.64	$7,590.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.90 / $391.06 / $604.83	Professional		$205.90	$391.06	$604.83
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $258.51 / $1,013.30 / $2,737.14	Professional	50	$258.51	$1,013.30	$2,737.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $139.59 / $279.18 / $605.01	Professional		$139.59	$279.18	$605.01
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $418.78 / $418.78 / $531.91	Professional	50	$418.78	$418.78	$531.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,828.15 / $1,828.15 / $2,193.78	Facility		$1,828.15	$1,828.15	$2,193.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.93 / $320.49 / $650.12	Professional		$217.93	$320.49	$650.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $225.91 / $248.12 / $802.17	Facility		$225.91	$248.12	$802.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $477.91 / $477.91 / $497.03	Professional		$477.91	$477.91	$497.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.42 / $483.79 / $876.80	Professional		$289.42	$483.79	$876.80
Qualchoice Facility/Professional Professional Modifier 50 Low / Median / High Price $481.60 / $481.60 / $481.60	Professional	50	$481.60	$481.60	$481.60
United Facility/Professional Facility Modifier Low / Median / High Price $980.00 / $1,650.00 / $4,064.00	Facility		$980.00	$1,650.00	$4,064.00
United Facility/Professional Professional Modifier Low / Median / High Price $370.81 / $551.61 / $818.78	Professional		$370.81	$551.61	$818.78