Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.40 / $104.23 / $317.57	Facility		$71.40	$104.23	$317.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.68 / $75.80 / $117.45	Professional		$50.68	$75.80	$117.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $118.82 / $139.09 / $140.11	Professional		$118.82	$139.09	$140.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $148.24 / $148.24 / $177.89	Facility		$148.24	$148.24	$177.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.94 / $64.62 / $117.02	Professional		$43.94	$64.62	$117.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $49.71 / $54.36 / $175.11	Facility		$49.71	$54.36	$175.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.34 / $95.34 / $99.15	Professional		$95.34	$95.34	$99.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.34 / $106.34 / $106.34	Facility		$106.34	$106.34	$106.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.79 / $94.39 / $140.91	Professional		$62.79	$94.39	$140.91
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $136.63 / $136.63 / $161.13	Professional		$136.63	$136.63	$161.13
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $328.00 / $768.00	Facility		$130.00	$328.00	$768.00
United Facility/Professional Professional Modifier Low / Median / High Price $74.09 / $104.59 / $153.53	Professional		$74.09	$104.59	$153.53