Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.77 / $298.12 / $459.20	Professional		$220.77	$298.12	$459.20
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $110.39 / $145.49 / $160.52	Professional	52	$110.39	$145.49	$160.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $247.41 / $368.90 / $478.86	Professional		$247.41	$368.90	$478.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $240.60 / $318.44 / $353.82	Professional		$240.60	$318.44	$353.82
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 $307.01 / $307.01 / $307.01	Facility		$307.01	$307.01	$307.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.11 / $310.74 / $460.65	Professional		$234.11	$310.74	$460.65
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $413.02 / $424.24 / $550.69	Professional		$413.02	$424.24	$550.69
United Facility/Professional Professional Modifier Low / Median / High Price $207.68 / $268.50 / $416.22	Professional		$207.68	$268.50	$416.22