Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $395.04 / $450.42 / $631.10	Facility		$395.04	$450.42	$631.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.32 / $338.10 / $450.42	Professional		$238.32	$338.10	$450.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $348.56 / $348.56 / $348.56	Professional		$348.56	$348.56	$348.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $397.36 / $397.36 / $397.36	Facility		$397.36	$397.36	$397.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $296.27 / $435.70 / $435.70	Professional		$296.27	$435.70	$435.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $348.56 / $348.56 / $418.27	Facility		$348.56	$348.56	$418.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $226.56 / $226.56 / $348.56	Professional		$226.56	$226.56	$348.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $256.77 / $333.31 / $734.47	Facility		$256.77	$333.31	$734.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.33 / $341.61 / $524.07	Professional		$189.33	$341.61	$524.07
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $400.84 / $400.84 / $400.84	Professional		$400.84	$400.84	$400.84
United Facility/Professional Professional Modifier Low / Median / High Price $146.40 / $209.14 / $395.04	Professional		$146.40	$209.14	$395.04