Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $278.10 / $447.96 / $568.00	Facility		$278.10	$447.96	$568.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.89 / $249.73 / $400.48	Professional		$211.89	$249.73	$400.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $257.45 / $257.45 / $257.45	Professional		$257.45	$257.45	$257.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $293.49 / $293.49 / $293.49	Facility		$293.49	$293.49	$293.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.54 / $286.05 / $321.80	Professional		$214.54	$286.05	$321.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $257.45 / $257.45 / $308.94	Facility		$257.45	$257.45	$308.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $167.34 / $167.34 / $257.45	Professional		$167.34	$167.34	$257.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.11 / $317.89 / $654.95	Facility		$194.11	$317.89	$654.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.04 / $253.21 / $430.22	Professional		$153.04	$253.21	$430.22
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $296.07 / $296.07 / $296.07	Professional		$296.07	$296.07	$296.07
United Facility/Professional Professional Modifier Low / Median / High Price $108.13 / $154.47 / $489.18	Professional		$108.13	$154.47	$489.18