Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $81.28 / $154.88	Professional		$61.66	$81.28	$154.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $97.72	Professional		$74.13	$74.13	$97.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $97.72 / $128.82	Professional		$74.13	$97.72	$128.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $77.62 / $93.33	Facility		$63.10	$77.62	$93.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $58.88 / $87.10	Professional		$56.23	$58.88	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $93.33 / $144.54	Professional		$39.81	$93.33	$144.54
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $112.20	Professional		$87.10	$87.10	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $74.13 / $112.20	Professional		$48.98	$74.13	$112.20