Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.71 / $179.71 / $248.18	Facility		$179.71	$179.71	$248.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.58 / $133.36 / $179.71	Professional		$85.58	$133.36	$179.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $142.63 / $161.16	Professional		$142.63	$142.63	$161.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.37 / $213.95 / $213.95	Professional		$128.37	$213.95	$213.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $142.63 / $171.16	Facility		$142.63	$142.63	$171.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $92.71 / $92.71 / $142.63	Professional		$92.71	$92.71	$142.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.71 / $107.54 / $255.88	Facility		$92.71	$107.54	$255.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.18 / $129.97 / $221.89	Professional		$60.18	$129.97	$221.89
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $164.02 / $164.02 / $185.35	Professional		$164.02	$164.02	$185.35
United Facility/Professional Facility Modifier Low / Median / High Price $128.37 / $128.37 / $128.37	Facility		$128.37	$128.37	$128.37
United Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $85.58 / $189.24	Professional		$59.90	$85.58	$189.24