Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.16 / $975.00 / $2,812.00	Facility		$135.16	$975.00	$2,812.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $566.83 / $566.83 / $566.83	Facility	50	$566.83	$566.83	$566.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.76 / $129.97 / $208.16	Professional		$93.76	$129.97	$208.16
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $206.10 / $247.22 / $624.00	Professional	50	$206.10	$247.22	$624.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.21 / $200.00 / $231.55	Professional		$101.21	$200.00	$231.55
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $303.63 / $303.63 / $303.63	Professional	50	$303.63	$303.63	$303.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.22 / $269.22 / $323.06	Facility		$269.22	$269.22	$323.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.58 / $164.88 / $204.12	Professional		$124.58	$164.88	$204.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $133.97 / $133.97 / $133.97	Facility		$133.97	$133.97	$133.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $325.61 / $325.61 / $325.61	Facility		$325.61	$325.61	$325.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.44 / $190.74 / $261.83	Professional		$113.44	$190.74	$261.83
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $116.39 / $230.00 / $251.46	Professional		$116.39	$230.00	$251.46
Qualchoice Facility/Professional Professional Modifier 50 Low / Median / High Price $349.17 / $349.17 / $349.17	Professional	50	$349.17	$349.17	$349.17
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 $125.07 / $159.16 / $272.93	Professional		$125.07	$159.16	$272.93