Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.40 / $222.18 / $2,500.00	Facility		$62.40	$222.18	$2,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.81 / $76.26 / $147.26	Professional		$51.81	$76.26	$147.26
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $142.38 / $142.38 / $142.38	Professional	50	$142.38	$142.38	$142.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.56 / $110.35 / $119.30	Professional		$66.56	$110.35	$119.30
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 $47.57 / $69.95 / $106.06	Professional		$47.57	$69.95	$106.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $68.13 / $68.13 / $68.13	Facility		$68.13	$68.13	$68.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $89.81 / $93.41 / $168.65	Professional		$89.81	$93.41	$168.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.53 / $67.53 / $67.53	Facility		$67.53	$67.53	$67.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.50 / $89.28 / $158.07	Professional		$56.50	$89.28	$158.07
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $19.67 / $83.69 / $137.19	Professional		$19.67	$83.69	$137.19
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $337.00 / $858.00	Facility		$130.00	$337.00	$858.00
United Facility/Professional Professional Modifier Low / Median / High Price $74.19 / $114.25 / $160.13	Professional		$74.19	$114.25	$160.13