Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.22 / $222.24 / $297.82	Facility		$201.22	$222.24	$297.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.85 / $201.22 / $356.50	Professional		$140.85	$201.22	$356.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $286.98 / $300.83 / $349.53	Professional		$286.98	$300.83	$349.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.50 / $194.50 / $211.62	Facility		$194.50	$194.50	$211.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $249.96 / $249.96 / $249.96	Facility		$249.96	$249.96	$249.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $164.48 / $257.19 / $374.59	Facility		$164.48	$257.19	$374.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.66 / $279.60 / $387.51	Professional		$177.66	$279.60	$387.51
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $278.74 / $345.97 / $401.96	Professional		$278.74	$345.97	$401.96
United Facility/Professional Professional Modifier Low / Median / High Price $170.81 / $210.15 / $347.35	Professional		$170.81	$210.15	$347.35