Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $171.15 / $371.53	Facility		$142.63	$171.15	$371.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.62 / $142.63 / $156.88	Professional		$142.62	$142.63	$156.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $165.00 / $165.00	Professional		$165.00	$165.00	$165.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $142.63 / $142.63	Facility		$142.63	$142.63	$142.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $142.63 / $142.63	Professional		$142.63	$142.63	$142.63
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 / $186.35	Facility		$92.71	$107.54	$186.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.44 / $138.63 / $220.55	Professional		$69.44	$138.63	$220.55
United Facility/Professional Facility Modifier Low / Median / High Price $128.34 / $128.34 / $128.34	Facility		$128.34	$128.34	$128.34
United Facility/Professional Professional Modifier Low / Median / High Price $66.69 / $85.58 / $143.47	Professional		$66.69	$85.58	$143.47