Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $363.08 / $467.74	Facility		$331.13	$363.08	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $223.87 / $331.13	Professional		$169.82	$223.87	$331.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $131.83 / $263.03	Professional		$117.49	$131.83	$263.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $407.38	Facility		$295.12	$295.12	$407.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $295.12	Professional		$194.98	$194.98	$295.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $371.54	Facility		$208.93	$208.93	$371.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $263.03	Professional		$169.82	$169.82	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $338.84 / $537.03	Facility		$169.82	$338.84	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $239.88 / $398.11	Professional		$120.23	$239.88	$398.11
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $263.03	Facility		$234.42	$234.42	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $158.49 / $316.23	Professional		$109.65	$158.49	$316.23