Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.34 / $211.74 / $6,254.44	Facility		$78.34	$211.74	$6,254.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $186.50 / $998.81	Professional		$176.45	$186.50	$998.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $170.96 / $176.45 / $176.45	Professional		$170.96	$176.45	$176.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $168.61 / $168.61 / $168.61	Facility		$168.61	$168.61	$168.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.61 / $168.61 / $178.79	Professional		$168.61	$168.61	$178.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $155.41 / $217.59 / $247.03	Facility		$155.41	$217.59	$247.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $155.41 / $176.45 / $409.11	Professional		$155.41	$176.45	$409.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.46 / $176.45 / $211.77	Facility		$166.46	$176.45	$211.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $176.45 / $199.75	Professional		$176.45	$176.45	$199.75
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $196.60 / $196.60 / $196.60	Professional		$196.60	$196.60	$196.60
United Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $176.45 / $225.86	Professional		$176.45	$176.45	$225.86