Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.62 / $228.00 / $606.48	Facility		$142.62	$228.00	$606.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.62 / $142.63 / $178.28	Professional		$142.62	$142.63	$178.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.31 / $71.31 / $183.71	Professional		$71.31	$71.31	$183.71
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 $85.58 / $142.63 / $159.28	Professional		$85.58	$142.63	$159.28