Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.21 / $137.57 / $202.50	Professional		$87.21	$137.57	$202.50
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $137.07 / $138.82 / $211.02	Professional	25	$137.07	$138.82	$211.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $142.91 / $176.52 / $229.26	Professional		$142.91	$176.52	$229.26
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $209.21 / $210.00 / $229.26	Professional	25	$209.21	$210.00	$229.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.14 / $149.16 / $219.36	Professional		$101.14	$149.16	$219.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $86.34 / $86.34 / $108.41	Facility		$86.34	$86.34	$108.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $132.66 / $132.66 / $135.85	Professional		$132.66	$132.66	$135.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $136.26 / $188.50	Professional		$70.00	$136.26	$188.50
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $207.68 / $230.07 / $263.64	Professional		$207.68	$230.07	$263.64
Qualchoice Facility/Professional Professional Modifier 25 Low / Median / High Price $240.59 / $240.59 / $241.50	Professional	25	$240.59	$240.59	$241.50
United Facility/Professional Professional Modifier Low / Median / High Price $98.10 / $137.38 / $195.52	Professional		$98.10	$137.38	$195.52