Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $128.82 / $223.87	Facility		$25.70	$128.82	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $141.25 / $239.88	Professional		$109.65	$141.25	$239.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $165.96 / $251.19	Professional		$89.13	$165.96	$251.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $154.88	Facility		$112.20	$112.20	$154.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $141.25 / $234.42	Facility		$47.86	$141.25	$234.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $117.49 / $229.09	Professional		$45.71	$117.49	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $134.90 / $263.03	Facility		$107.15	$134.90	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $194.98 / $302.00	Professional		$128.82	$194.98	$302.00
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $239.88 / $288.40	Professional		$190.55	$239.88	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $169.82 / $295.12	Professional		$131.83	$169.82	$295.12