Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.71 / $119.63 / $231.75	Facility		$25.71	$119.63	$231.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.31 / $154.52 / $203.21	Professional		$117.31	$154.52	$203.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $166.58 / $180.00 / $250.00	Professional		$166.58	$180.00	$250.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $111.86 / $111.86 / $121.70	Facility		$111.86	$111.86	$121.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.65 / $236.65 / $236.65	Professional		$236.65	$236.65	$236.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.29 / $128.33 / $194.32	Facility		$44.29	$128.33	$194.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $46.04 / $109.32 / $179.18	Professional		$46.04	$109.32	$179.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.85 / $135.83 / $197.67	Facility		$111.85	$135.83	$197.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.49 / $195.98 / $292.16	Professional		$126.49	$195.98	$292.16
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $191.57 / $207.00 / $287.50	Professional		$191.57	$207.00	$287.50
United Facility/Professional Professional Modifier Low / Median / High Price $120.27 / $182.30 / $292.66	Professional		$120.27	$182.30	$292.66