Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.33 / $89.88 / $2,500.00	Facility		$60.33	$89.88	$2,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.92 / $64.09 / $96.14	Professional		$45.92	$64.09	$96.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $96.48 / $99.73 / $111.96	Professional		$96.48	$99.73	$111.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.09 / $118.09 / $141.71	Facility		$118.09	$118.09	$141.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.88 / $72.48 / $95.94	Professional		$53.88	$72.48	$95.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.74 / $57.74 / $57.74	Facility		$57.74	$57.74	$57.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.39 / $96.39 / $96.39	Facility		$96.39	$96.39	$96.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.52 / $88.57 / $128.90	Professional		$63.52	$88.57	$128.90
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $110.95 / $110.95 / $128.75	Professional		$110.95	$110.95	$128.75
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $328.00 / $768.00	Facility		$130.00	$328.00	$768.00
United Facility/Professional Professional Modifier Low / Median / High Price $59.55 / $74.53 / $127.17	Professional		$59.55	$74.53	$127.17