Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $85.11 / $147.91	Facility		$25.70	$85.11	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $117.49 / $338.84	Professional		$57.54	$117.49	$338.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $131.83 / $234.42	Professional		$81.28	$131.83	$234.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $120.23	Facility		$87.10	$87.10	$120.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $112.20 / $186.21	Facility		$38.02	$112.20	$186.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $93.33 / $181.97	Professional		$37.15	$93.33	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $107.15 / $223.87	Facility		$85.11	$107.15	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $194.98 / $269.15	Professional		$117.49	$194.98	$269.15
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $151.36 / $223.87	Professional		$91.20	$151.36	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $177.83 / $263.03	Professional		$117.49	$177.83	$263.03