Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $684.67 / $834.69 / $1,017.74	Facility		$684.67	$834.69	$1,017.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $518.69 / $684.66 / $877.36	Professional		$518.69	$684.66	$877.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,027.92 / $1,175.68 / $1,175.68	Professional		$1,027.92	$1,175.68	$1,175.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $658.62 / $658.62 / $716.58	Facility		$658.62	$658.62	$716.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $840.48 / $840.48 / $840.48	Facility		$840.48	$840.48	$840.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $648.70 / $962.16 / $1,317.63	Professional		$648.70	$962.16	$1,317.63
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $1,182.10 / $1,352.03 / $1,352.03	Professional		$1,182.10	$1,352.03	$1,352.03
United Facility/Professional Professional Modifier Low / Median / High Price $576.47 / $709.70 / $1,170.84	Professional		$576.47	$709.70	$1,170.84