Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $510.66 / $1,435.00 / $3,804.00	Facility		$510.66	$1,435.00	$3,804.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,252.50 / $1,793.00 / $3,818.40	Facility	50	$1,252.50	$1,793.00	$3,818.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $368.06 / $502.32 / $688.14	Professional		$368.06	$502.32	$688.14
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,189.50 / $1,189.50 / $1,189.50	Professional	50	$1,189.50	$1,189.50	$1,189.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $338.47 / $666.80 / $681.77	Professional		$338.47	$666.80	$681.77
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $939.97 / $939.97 / $939.97	Professional	50	$939.97	$939.97	$939.97
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 $491.85 / $625.73 / $662.54	Professional		$491.85	$625.73	$662.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $519.66 / $565.04 / $1,562.72	Facility		$519.66	$565.04	$1,562.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $512.66 / $512.66 / $533.16	Professional		$512.66	$512.66	$533.16
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 $450.73 / $681.23 / $955.00	Professional		$450.73	$681.23	$955.00
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $364.18 / $728.36 / $836.30	Professional		$364.18	$728.36	$836.30
Qualchoice Facility/Professional Professional Modifier 50 Low / Median / High Price $1,080.97 / $1,080.97 / $1,080.97	Professional	50	$1,080.97	$1,080.97	$1,080.97
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 $383.41 / $511.74 / $864.42	Professional		$383.41	$511.74	$864.42