Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.48 / $199.56 / $321.30	Facility		$172.48	$199.56	$321.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.52 / $164.87 / $199.56	Professional		$94.52	$164.87	$199.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.31 / $142.63 / $192.55	Professional		$71.31	$142.63	$192.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.60 / $162.60 / $162.60	Facility		$162.60	$162.60	$162.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.24 / $178.29 / $178.29	Professional		$121.24	$178.29	$178.29
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 $107.54 / $147.66 / $325.24	Facility		$107.54	$147.66	$325.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.22 / $126.13 / $212.96	Professional		$76.22	$126.13	$212.96
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $164.02 / $164.02 / $164.02	Professional		$164.02	$164.02	$164.02
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 / $87.29 / $189.24	Professional		$59.90	$87.29	$189.24