Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.20 / $88.20 / $102.90	Facility		$88.20	$88.20	$102.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.61 / $90.76 / $130.00	Professional		$71.61	$90.76	$130.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.27 / $130.68 / $134.12	Professional		$77.27	$130.68	$134.12
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 $103.18 / $136.57 / $151.74	Professional		$103.18	$136.57	$151.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $72.34 / $79.04 / $149.50	Facility		$72.34	$79.04	$149.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $77.89 / $111.62 / $160.15	Professional		$77.89	$111.62	$160.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.00 / $94.81 / $177.05	Professional		$62.00	$94.81	$177.05
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $88.86 / $150.28 / $176.81	Professional		$88.86	$150.28	$176.81
United Facility/Professional Facility Modifier Low / Median / High Price $112.86 / $112.86 / $112.86	Facility		$112.86	$112.86	$112.86
United Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $100.57 / $190.51	Professional		$79.00	$100.57	$190.51