Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.41 / $167.84 / $303.45	Facility		$165.41	$167.84	$303.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.98 / $144.78 / $209.04	Professional		$127.98	$144.78	$209.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.11 / $187.51 / $209.47	Professional		$123.11	$187.51	$209.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.62 / $184.80 / $184.80	Professional		$139.62	$184.80	$184.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $125.01 / $188.70 / $202.64	Facility		$125.01	$188.70	$202.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $143.52 / $154.79 / $205.92	Professional		$143.52	$154.79	$205.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.65 / $195.17 / $256.01	Professional		$129.65	$195.17	$256.01
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $215.64 / $232.94 / $314.08	Professional		$215.64	$232.94	$314.08
United Facility/Professional Professional Modifier Low / Median / High Price $117.45 / $163.72 / $255.65	Professional		$117.45	$163.72	$255.65