Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.81 / $104.81 / $104.81	Facility		$104.81	$104.81	$104.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.09 / $93.76 / $981.60	Professional		$78.09	$93.76	$981.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $73.76 / $121.60 / $134.38	Professional		$73.76	$121.60	$134.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.33 / $122.20 / $135.78	Professional		$92.33	$122.20	$135.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.23 / $108.43 / $121.02	Facility		$79.23	$108.43	$121.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $77.45 / $98.96 / $185.82	Professional		$77.45	$98.96	$185.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $152.47 / $285.00	Facility		$150.00	$152.47	$285.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.33 / $106.67 / $157.00	Professional		$80.33	$106.67	$157.00
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $139.84 / $139.84 / $153.01	Professional		$139.84	$139.84	$153.01
United Facility/Professional Professional Modifier Low / Median / High Price $70.45 / $89.95 / $150.44	Professional		$70.45	$89.95	$150.44