Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.04 / $106.05 / $174.40	Facility		$106.04	$106.05	$174.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.05 / $140.25 / $207.90	Professional		$106.05	$140.25	$207.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $159.78 / $183.40 / $218.60	Professional		$159.78	$183.40	$218.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.31 / $138.31 / $138.31	Facility		$138.31	$138.31	$138.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.30 / $183.04 / $211.18	Professional		$138.30	$183.04	$211.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $105.07 / $114.87 / $217.14	Facility		$105.07	$114.87	$217.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $129.82 / $186.04 / $266.92	Professional		$129.82	$186.04	$266.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $144.00 / $247.34	Professional		$80.00	$144.00	$247.34
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $183.75 / $232.05 / $288.22	Professional		$183.75	$232.05	$288.22
United Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $157.05 / $242.36	Professional		$110.00	$157.05	$242.36