Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.60 / $2,395.53 / $2,719.80	Facility		$127.60	$2,395.53	$2,719.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.33 / $109.52 / $146.02	Professional		$106.33	$109.52	$146.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $136.04 / $136.04 / $163.60	Professional		$136.04	$136.04	$163.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $152.65 / $152.65 / $152.65	Facility		$152.65	$152.65	$152.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.65 / $152.65 / $178.72	Professional		$152.65	$152.65	$178.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $106.33 / $148.86 / $202.06	Facility		$106.33	$148.86	$202.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $106.33 / $106.33 / $246.53	Professional		$106.33	$106.33	$246.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.32 / $106.33 / $135.55	Facility		$100.32	$106.33	$135.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.33 / $106.33 / $115.36	Professional		$106.33	$106.33	$115.36
United Facility/Professional Professional Modifier Low / Median / High Price $103.14 / $106.33 / $136.10	Professional		$103.14	$106.33	$136.10