Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.04 / $82.83 / $154.86	Professional		$71.04	$82.83	$154.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $86.72 / $97.94 / $98.63	Professional		$86.72	$97.94	$98.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.16 / $115.48 / $144.35	Professional		$98.16	$115.48	$144.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.13 / $77.16 / $91.43	Facility		$75.13	$77.16	$91.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.73 / $56.73 / $87.53	Professional		$56.73	$56.73	$87.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.02 / $90.62 / $144.97	Professional		$40.02	$90.62	$144.97
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $99.73 / $99.73 / $113.42	Professional		$99.73	$99.73	$113.42
United Facility/Professional Professional Modifier Low / Median / High Price $53.65 / $81.09 / $102.49	Professional		$53.65	$81.09	$102.49