Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.86 / $113.90 / $181.90	Professional		$67.86	$113.90	$181.90
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $31.86 / $133.41 / $170.00	Professional	25	$31.86	$133.41	$170.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $121.01 / $148.54 / $190.78	Professional		$121.01	$148.54	$190.78
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $176.04 / $179.55 / $184.25	Professional	25	$176.04	$179.55	$184.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.76 / $124.48 / $183.06	Professional		$80.76	$124.48	$183.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.52 / $69.52 / $87.45	Facility		$69.52	$69.52	$87.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $111.79 / $111.79 / $114.56	Professional		$111.79	$111.79	$114.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.31 / $114.38 / $156.28	Professional		$60.31	$114.38	$156.28
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $170.82 / $170.82 / $219.40	Professional		$170.82	$170.82	$219.40
Qualchoice Facility/Professional Professional Modifier 25 Low / Median / High Price $202.45 / $202.45 / $206.48	Professional	25	$202.45	$202.45	$206.48
United Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $115.31 / $160.15	Professional		$84.00	$115.31	$160.15