Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.78 / $505.60 / $1,097.26	Facility		$196.78	$505.60	$1,097.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.54 / $104.54 / $146.09	Professional		$104.54	$104.54	$146.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $156.59 / $156.59 / $156.59	Professional		$156.59	$156.59	$156.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $178.51 / $178.51 / $178.51	Facility		$178.51	$178.51	$178.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.44 / $176.17 / $195.74	Professional		$117.44	$176.17	$195.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $164.42 / $164.42 / $164.42	Facility		$164.42	$164.42	$164.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $101.78 / $101.78 / $156.59	Professional		$101.78	$101.78	$156.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.78 / $201.96 / $280.91	Facility		$101.78	$201.96	$280.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.33 / $163.50 / $204.38	Professional		$82.33	$163.50	$204.38
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $180.08 / $180.08 / $180.08	Professional		$180.08	$180.08	$180.08
United Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $73.79 / $93.95	Professional		$63.00	$73.79	$93.95