Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.93 / $294.70 / $459.20	Professional		$219.93	$294.70	$459.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $250.86 / $370.55 / $478.86	Professional		$250.86	$370.55	$478.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.16 / $319.18 / $354.64	Professional		$241.16	$319.18	$354.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $272.00 / $372.44 / $414.37	Facility		$272.00	$372.44	$414.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $266.02 / $339.46 / $638.04	Professional		$266.02	$339.46	$638.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.11 / $310.11 / $310.11	Facility		$310.11	$310.11	$310.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.08 / $313.74 / $461.17	Professional		$236.08	$313.74	$461.17
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $413.02 / $468.08 / $550.69	Professional		$413.02	$468.08	$550.69
United Facility/Professional Professional Modifier Low / Median / High Price $212.88 / $265.58 / $417.16	Professional		$212.88	$265.58	$417.16