Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $1,071.52 / $4,365.16	Facility		$275.42	$1,071.52	$4,365.16
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $724.44 / $4,677.35 / $7,585.78	Facility	50	$724.44	$4,677.35	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $426.58 / $977.24	Professional		$186.21	$426.58	$977.24
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $263.03 / $660.69 / $1,949.84	Professional	50	$263.03	$660.69	$1,949.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $363.08 / $524.81	Professional		$158.49	$363.08	$524.81
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $245.47 / $389.05 / $870.96	Professional	50	$245.47	$389.05	$870.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $2,511.89	Facility		$1,819.70	$1,819.70	$2,511.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $288.40 / $645.65	Professional		$218.78	$288.40	$645.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $794.33	Facility		$245.47	$245.47	$794.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $416.87 / $794.33	Professional		$229.09	$416.87	$794.33
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $426.58 / $977.24	Professional		$162.18	$426.58	$977.24
Qualchoice Facility/Professional Professional Modifier 50 Low / Median / High Price $446.68 / $575.44 / $1,122.02	Professional	50	$446.68	$575.44	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $2,137.96 / $5,623.41	Facility		$977.24	$2,137.96	$5,623.41
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $389.05 / $691.83	Professional		$213.80	$389.05	$691.83