Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.50 / $1,152.00 / $2,038.50	Facility		$103.50	$1,152.00	$2,038.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.69 / $313.70 / $345.06	Professional		$313.69	$313.70	$345.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $413.72 / $413.72 / $413.72	Professional		$413.72	$413.72	$413.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $359.05 / $359.05 / $359.05	Facility		$359.05	$359.05	$359.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $359.05 / $359.05 / $359.05	Professional		$359.05	$359.05	$359.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $512.72 / $512.72 / $512.72	Facility		$512.72	$512.72	$512.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $321.26 / $321.26 / $321.26	Facility		$321.26	$321.26	$321.26
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $475.78 / $475.78 / $475.78	Professional		$475.78	$475.78	$475.78
United Facility/Professional Professional Modifier Low / Median / High Price $323.79 / $359.05 / $359.05	Professional		$323.79	$359.05	$359.05