Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.27 / $109.27 / $109.27	Facility		$109.27	$109.27	$109.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.97 / $86.34 / $117.57	Professional		$67.97	$86.34	$117.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.87 / $131.74 / $150.13	Professional		$125.87	$131.74	$150.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $265.83 / $265.83 / $265.83	Facility		$265.83	$265.83	$265.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.86 / $116.29 / $129.21	Professional		$87.86	$116.29	$129.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $55.57 / $60.47 / $114.84	Facility		$55.57	$60.47	$114.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $68.38 / $97.99 / $140.60	Professional		$68.38	$97.99	$140.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $98.00 / $159.97	Professional		$65.00	$98.00	$159.97
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $144.75 / $151.50 / $172.65	Professional		$144.75	$151.50	$172.65
United Facility/Professional Professional Modifier Low / Median / High Price $83.87 / $107.35 / $174.41	Professional		$83.87	$107.35	$174.41