Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.21 / $166.38 / $558.35	Facility		$129.21	$166.38	$558.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.84 / $153.00 / $222.13	Professional		$123.84	$153.00	$222.13
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $81.90 / $81.90 / $81.90	Professional	25	$81.90	$81.90	$81.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $186.92 / $233.46 / $280.55	Professional		$186.92	$233.46	$280.55
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 $157.19 / $208.04 / $236.18	Professional		$157.19	$208.04	$236.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $119.36 / $130.21 / $246.67	Facility		$119.36	$130.21	$246.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $145.69 / $208.78 / $299.56	Professional		$145.69	$208.78	$299.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $166.18 / $306.92	Professional		$65.00	$166.18	$306.92
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $216.12 / $268.48 / $322.63	Professional		$216.12	$268.48	$322.63
United Facility/Professional Professional Modifier Low / Median / High Price $120.72 / $159.30 / $300.63	Professional		$120.72	$159.30	$300.63