Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $134.90 / $407.38	Facility		$39.81	$134.90	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $102.33 / $199.53	Professional		$60.26	$102.33	$199.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $36.31 / $69.18	Professional		$29.51	$36.31	$69.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $199.53 / $257.04	Professional		$58.88	$199.53	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $102.33 / $549.54	Facility		$70.79	$102.33	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $125.89 / $199.53	Professional		$72.44	$125.89	$199.53
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $79.43 / $91.20	Professional		$67.61	$79.43	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $93.33 / $194.98	Professional		$58.88	$93.33	$194.98