Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.93 / $96.35 / $125.75	Facility		$71.93	$96.35	$125.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.17 / $79.23 / $120.03	Professional		$55.17	$79.23	$120.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $126.03 / $134.85	Professional		$106.70	$126.03	$134.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $244.00 / $292.80	Facility		$244.00	$244.00	$292.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.28 / $86.06 / $113.90	Professional		$62.28	$86.06	$113.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.45 / $75.75 / $215.46	Facility		$69.45	$75.75	$215.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $92.81 / $92.81 / $96.53	Professional		$92.81	$92.81	$96.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $236.70 / $236.70 / $236.70	Facility		$236.70	$236.70	$236.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.98 / $109.01 / $147.00	Professional		$80.98	$109.01	$147.00
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $94.25 / $133.63 / $155.08	Professional		$94.25	$133.63	$155.08
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 $70.95 / $99.51 / $148.81	Professional		$70.95	$99.51	$148.81