Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $79.43 / $165.96	Professional		$56.23	$79.43	$165.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $57.54 / $97.72	Professional		$38.90	$57.54	$97.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $77.62 / $95.50	Facility		$63.10	$77.62	$95.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $50.12 / $75.86	Professional		$48.98	$50.12	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $95.50 / $169.82	Professional		$50.12	$95.50	$169.82
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $112.20	Professional		$97.72	$97.72	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $79.43 / $128.82	Professional		$50.12	$79.43	$128.82