Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.12 / $86.10 / $86.10	Facility		$75.12	$86.10	$86.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.25 / $87.64 / $127.91	Professional		$68.25	$87.64	$127.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $114.88 / $136.16	Professional		$100.00	$114.88	$136.16
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 $84.62 / $112.00 / $126.83	Professional		$84.62	$112.00	$126.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.95 / $73.19 / $138.38	Facility		$66.95	$73.19	$138.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.17 / $116.32 / $166.90	Professional		$81.17	$116.32	$166.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.00 / $89.10 / $154.69	Professional		$62.00	$89.10	$154.69
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $89.84 / $149.83 / $176.16	Professional		$89.84	$149.83	$176.16
United Facility/Professional Professional Modifier Low / Median / High Price $72.56 / $95.00 / $177.13	Professional		$72.56	$95.00	$177.13