Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $162.18 / $251.19	Professional		$120.23	$162.18	$251.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $147.91 / $151.36	Professional		$117.49	$147.91	$151.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $141.25 / $144.54	Professional		$128.82	$141.25	$144.54
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $186.21 / $309.03	Professional		$134.90	$186.21	$309.03