Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.01 / $99.02 / $129.87	Facility		$99.01	$99.02	$129.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.41 / $124.37 / $192.11	Professional		$97.41	$124.37	$192.11
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $442.00 / $442.00 / $442.00	Professional	25	$442.00	$442.00	$442.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $150.63 / $175.00 / $201.61	Professional		$150.63	$175.00	$201.61
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 $133.21 / $176.31 / $199.43	Professional		$133.21	$176.31	$199.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $99.07 / $108.31 / $204.74	Facility		$99.07	$108.31	$204.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $120.25 / $172.33 / $247.25	Professional		$120.25	$172.33	$247.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $130.16 / $231.62	Professional		$65.00	$130.16	$231.62
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $191.26 / $225.08 / $267.66	Professional		$191.26	$225.08	$267.66
United Facility/Professional Professional Modifier Low / Median / High Price $104.79 / $136.91 / $228.41	Professional		$104.79	$136.91	$228.41