Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $314.67 / $401.40 / $992.00	Professional		$314.67	$401.40	$992.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $362.80 / $460.59 / $1,370.98	Professional		$362.80	$460.59	$1,370.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $348.10 / $511.91 / $511.91	Professional		$348.10	$511.91	$511.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $356.10 / $486.65 / $543.04	Facility		$356.10	$486.65	$543.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $347.61 / $458.65 / $839.38	Professional		$347.61	$458.65	$839.38
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 $348.62 / $458.12 / $618.16	Professional		$348.62	$458.12	$618.16
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $529.67 / $574.40 / $574.40	Professional		$529.67	$574.40	$574.40
United Facility/Professional Professional Modifier Low / Median / High Price $347.61 / $426.31 / $559.32	Professional		$347.61	$426.31	$559.32