Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $566.19 / $922.39 / $2,812.00	Facility		$566.19	$922.39	$2,812.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,291.56 / $1,291.56 / $1,291.56	Facility	50	$1,291.56	$1,291.56	$1,291.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $385.26 / $462.65 / $740.20	Professional		$385.26	$462.65	$740.20
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,880.63 / $1,880.63 / $1,880.63	Professional	50	$1,880.63	$1,880.63	$1,880.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $304.29 / $340.35 / $819.18	Professional		$304.29	$340.35	$819.18
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $510.52 / $510.52 / $510.52	Professional	50	$510.52	$510.52	$510.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $539.80 / $539.80 / $647.77	Facility		$539.80	$539.80	$647.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.23 / $303.39 / $340.35	Professional		$229.23	$303.39	$340.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $246.58 / $246.58 / $246.58	Facility		$246.58	$246.58	$246.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $534.97 / $534.97 / $534.97	Facility		$534.97	$534.97	$534.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.24 / $671.90 / $937.59	Professional		$291.24	$671.90	$937.59
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $349.93 / $391.40 / $422.81	Professional		$349.93	$391.40	$422.81
Qualchoice Facility/Professional Professional Modifier 50 Low / Median / High Price $587.10 / $587.10 / $681.33	Professional	50	$587.10	$587.10	$681.33
United Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $811.00 / $1,574.00	Facility		$330.00	$811.00	$1,574.00
United Facility/Professional Professional Modifier Low / Median / High Price $431.63 / $514.03 / $959.45	Professional		$431.63	$514.03	$959.45