Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $199.53 / $338.84	Facility		$169.82	$199.53	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $134.90 / $263.03	Professional		$93.33	$134.90	$263.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $75.86 / $177.83	Professional		$70.79	$75.86	$177.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $223.87	Facility		$162.18	$162.18	$223.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $177.83 / $177.83	Professional		$120.23	$177.83	$177.83
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 / $154.88 / $323.59	Facility		$93.33	$154.88	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $144.54 / $213.80	Professional		$75.86	$144.54	$213.80
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $173.78 / $309.03	Professional		$162.18	$173.78	$309.03
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 / $87.10 / $190.55	Professional		$60.26	$87.10	$190.55