Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $775.07 / $880.98 / $936.98	Facility		$775.07	$880.98	$936.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $733.67 / $741.00 / $880.98	Professional		$733.67	$741.00	$880.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $775.65 / $775.65 / $775.65	Professional		$775.65	$775.65	$775.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $796.49 / $796.49 / $796.49	Facility		$796.49	$796.49	$796.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $731.75 / $796.49 / $796.49	Professional		$731.75	$796.49	$796.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $733.67 / $991.10 / $1,100.51	Facility		$733.67	$991.10	$1,100.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $733.67 / $734.15 / $1,701.05	Professional		$733.67	$734.15	$1,701.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $558.54 / $703.06 / $733.67	Facility		$558.54	$703.06	$733.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $733.67 / $733.67 / $795.96	Professional		$733.67	$733.67	$795.96
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $928.71 / $928.71 / $928.71	Professional		$928.71	$928.71	$928.71
United Facility/Professional Professional Modifier Low / Median / High Price $733.67 / $755.68 / $939.10	Professional		$733.67	$755.68	$939.10