Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.11 / $199.24 / $266.99	Facility		$180.11	$199.24	$266.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.19 / $180.11 / $416.00	Professional		$136.19	$180.11	$416.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $255.10 / $265.44 / $308.41	Professional		$255.10	$265.44	$308.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.26 / $173.26 / $188.51	Facility		$173.26	$173.26	$188.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $220.43 / $220.43 / $220.43	Facility		$220.43	$220.43	$220.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.40 / $222.18 / $313.13	Facility		$147.40	$222.18	$313.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.29 / $250.41 / $346.58	Professional		$168.29	$250.41	$346.58
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $248.81 / $305.26 / $354.67	Professional		$248.81	$305.26	$354.67
United Facility/Professional Professional Modifier Low / Median / High Price $151.65 / $195.49 / $307.29	Professional		$151.65	$195.49	$307.29