Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.10 / $107.10 / $107.10	Facility		$107.10	$107.10	$107.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.92 / $82.56 / $123.97	Professional		$61.92	$82.56	$123.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.09 / $110.00 / $128.11	Professional		$101.09	$110.00	$128.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.45 / $82.45 / $82.45	Facility		$82.45	$82.45	$82.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.33 / $107.64 / $120.56	Professional		$81.33	$107.64	$120.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $59.68 / $65.09 / $123.33	Facility		$59.68	$65.09	$123.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $71.81 / $102.93 / $147.68	Professional		$71.81	$102.93	$147.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $91.00 / $161.85	Professional		$43.00	$91.00	$161.85
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $116.25 / $116.25 / $159.06	Professional		$116.25	$116.25	$159.06
United Facility/Professional Professional Modifier Low / Median / High Price $64.77 / $88.11 / $172.35	Professional		$64.77	$88.11	$172.35