Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.64 / $104.42 / $141.88	Professional		$82.64	$104.42	$141.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $133.88 / $157.52	Professional		$90.00	$133.88	$157.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.49 / $108.49 / $108.49	Facility		$108.49	$108.49	$108.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.84 / $142.72 / $159.10	Professional		$107.84	$142.72	$159.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.41 / $86.62 / $164.11	Facility		$79.41	$86.62	$164.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.38 / $136.68 / $196.10	Professional		$95.38	$136.68	$196.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $132.00 / $212.97	Professional		$70.00	$132.00	$212.97
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $103.50 / $153.97 / $181.15	Professional		$103.50	$153.97	$181.15
United Facility/Professional Professional Modifier Low / Median / High Price $93.37 / $122.40 / $230.33	Professional		$93.37	$122.40	$230.33