Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $245.47	Facility		$177.83	$177.83	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $120.23 / $177.83	Professional		$93.33	$120.23	$177.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $85.11 / $141.25	Professional		$60.26	$85.11	$141.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $218.78	Facility		$162.18	$162.18	$218.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $213.80 / $213.80	Professional		$128.82	$213.80	$213.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $141.25 / $199.53	Facility		$114.82	$141.25	$199.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $141.25	Professional		$93.33	$93.33	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $181.97 / $263.03	Facility		$93.33	$181.97	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $128.82 / $223.87	Professional		$63.10	$128.82	$223.87
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $147.91 / $186.21	Professional		$138.04	$147.91	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $141.25	Facility		$128.82	$128.82	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $85.11 / $190.55	Professional		$60.26	$85.11	$190.55