Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $686.44 / $1,362.00 / $3,784.28	Facility		$686.44	$1,362.00	$3,784.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $523.97 / $697.08 / $988.30	Professional		$523.97	$697.08	$988.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $467.32 / $865.31 / $1,004.18	Professional		$467.32	$865.31	$1,004.18
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 $677.64 / $847.05 / $896.88	Professional		$677.64	$847.05	$896.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $718.45 / $781.52 / $2,161.85	Facility		$718.45	$781.52	$2,161.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $697.79 / $697.79 / $725.70	Professional		$697.79	$697.79	$725.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,889.03 / $1,889.03 / $1,889.03	Facility		$1,889.03	$1,889.03	$1,889.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $615.41 / $909.11 / $1,334.05	Professional		$615.41	$909.11	$1,334.05
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $702.50 / $995.11 / $1,154.81	Professional		$702.50	$995.11	$1,154.81
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 $499.50 / $674.07 / $1,173.49	Professional		$499.50	$674.07	$1,173.49