Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $346.74 / $676.08	Facility		$194.98	$346.74	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $239.88 / $489.78	Professional		$173.78	$239.88	$489.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $660.69 / $660.69	Professional		$380.19	$660.69	$660.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $776.25	Facility		$562.34	$562.34	$776.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $416.87 / $537.03	Professional		$363.08	$416.87	$537.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $234.42 / $549.54	Facility		$154.88	$234.42	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $371.54 / $537.03	Professional		$131.83	$371.54	$537.03
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $776.25	Professional		$758.58	$758.58	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $870.96 / $1,659.59	Facility		$676.08	$870.96	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $229.09 / $416.87	Professional		$114.82	$229.09	$416.87