Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $446.68 / $562.34	Facility		$275.42	$446.68	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $223.87 / $575.44	Professional		$173.78	$223.87	$575.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $398.11	Facility		$295.12	$295.12	$398.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $323.59	Professional		$213.80	$213.80	$323.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $363.08	Facility		$204.17	$204.17	$363.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $257.04	Professional		$165.96	$165.96	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $331.13 / $691.83	Facility		$204.17	$331.13	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $288.40 / $426.58	Professional		$151.36	$288.40	$426.58
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $257.04	Facility		$229.09	$229.09	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $173.78 / $489.78	Professional		$107.15	$173.78	$489.78