Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $727.39 / $904.08 / $2,127.69	Professional		$727.39	$904.08	$2,127.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,064.26 / $1,064.26 / $3,166.28	Professional		$1,064.26	$1,064.26	$3,166.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $750.93 / $1,104.31 / $1,104.31	Professional		$750.93	$1,104.31	$1,104.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $822.97 / $1,124.51 / $1,255.29	Facility		$822.97	$1,124.51	$1,255.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $803.22 / $1,059.77 / $1,940.30	Professional		$803.22	$1,059.77	$1,940.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $541.00 / $541.00 / $541.00	Facility		$541.00	$541.00	$541.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $806.20 / $1,058.64 / $1,453.13	Professional		$806.20	$1,058.64	$1,453.13
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $1,223.90 / $1,223.90 / $1,223.90	Professional		$1,223.90	$1,223.90	$1,223.90
United Facility/Professional Professional Modifier Low / Median / High Price $796.97 / $955.39 / $1,243.34	Professional		$796.97	$955.39	$1,243.34