Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.71 / $80.26 / $182.62	Facility		$25.71	$80.26	$182.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.59 / $148.72 / $211.18	Professional		$96.59	$148.72	$211.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $131.38 / $195.12	Professional		$80.00	$131.38	$195.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.72 / $87.72 / $95.44	Facility		$87.72	$87.72	$95.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.88 / $186.88 / $186.88	Professional		$186.88	$186.88	$186.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.08 / $100.75 / $154.34	Facility		$36.08	$100.75	$154.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.39 / $85.82 / $142.04	Professional		$37.39	$85.82	$142.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.21 / $105.97 / $223.02	Facility		$87.21	$105.97	$223.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.02 / $189.39 / $255.58	Professional		$120.02	$189.39	$255.58
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $92.00 / $92.00 / $224.39	Professional		$92.00	$92.00	$224.39
United Facility/Professional Professional Modifier Low / Median / High Price $126.60 / $184.01 / $245.89	Professional		$126.60	$184.01	$245.89