Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.05 / $106.05 / $106.05	Facility		$106.05	$106.05	$106.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.14 / $123.75 / $163.88	Professional		$94.14	$123.75	$163.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $163.07 / $191.85	Professional		$81.90	$163.07	$191.85
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 $136.50 / $180.66 / $203.49	Professional		$136.50	$180.66	$203.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.57 / $104.39 / $197.52	Facility		$95.57	$104.39	$197.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $115.54 / $165.57 / $237.55	Professional		$115.54	$165.57	$237.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $162.00 / $257.95	Professional		$99.00	$162.00	$257.95
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $162.51 / $187.53 / $220.63	Professional		$162.51	$187.53	$220.63
United Facility/Professional Professional Modifier Low / Median / High Price $96.90 / $134.24 / $258.58	Professional		$96.90	$134.24	$258.58