Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.24 / $157.47 / $194.70	Facility		$126.24	$157.47	$194.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.98 / $126.24 / $184.51	Professional		$93.98	$126.24	$184.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $110.69 / $110.69 / $142.77	Professional		$110.69	$110.69	$142.77
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 $105.73 / $139.93 / $182.37	Professional		$105.73	$139.93	$182.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $115.95 / $127.37 / $372.72	Facility		$115.95	$127.37	$372.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $147.05 / $147.05 / $152.93	Professional		$147.05	$147.05	$152.93
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 $133.56 / $185.85 / $228.10	Professional		$133.56	$185.85	$228.10
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $164.19 / $164.19 / $164.19	Professional		$164.19	$164.19	$164.19
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 $120.83 / $159.30 / $243.73	Professional		$120.83	$159.30	$243.73