Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $1,071.52 / $2,454.71	Facility		$181.97	$1,071.52	$2,454.71
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $89.13 / $114.82 / $144.54	Facility	53	$89.13	$114.82	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $281.84 / $645.65	Professional		$162.18	$281.84	$645.65
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $61.66 / $114.82 / $199.53	Professional	53	$61.66	$114.82	$199.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $208.93 / $331.13	Professional		$173.78	$208.93	$331.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $1,148.15	Facility		$851.14	$851.14	$1,148.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $257.04 / $478.63	Professional		$194.98	$257.04	$478.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $165.96 / $251.19	Facility		$26.92	$165.96	$251.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $93.33 / $724.44	Professional		$39.81	$93.33	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $489.78 / $812.83	Facility		$457.09	$489.78	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $302.00 / $302.00	Professional		$204.17	$302.00	$302.00
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $316.23 / $467.74	Professional		$263.03	$316.23	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $831.76 / $2,630.27	Facility		$302.00	$831.76	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $323.59 / $562.34	Professional		$181.97	$323.59	$562.34
United Facility/Professional Professional Modifier 53 Low / Median / High Price $204.17 / $204.17 / $204.17	Professional	53	$204.17	$204.17	$204.17