Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.81 / $107.81 / $107.81	Facility		$107.81	$107.81	$107.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.31 / $81.20 / $113.31	Professional		$64.31	$81.20	$113.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.52 / $117.29 / $137.99	Professional		$107.52	$117.29	$137.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.66 / $105.43 / $119.21	Professional		$79.66	$105.43	$119.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.39 / $58.37 / $110.33	Facility		$53.39	$58.37	$110.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.58 / $92.54 / $132.78	Professional		$64.58	$92.54	$132.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.00 / $91.00 / $152.93	Professional		$61.00	$91.00	$152.93
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $123.65 / $140.15 / $158.69	Professional		$123.65	$140.15	$158.69
United Facility/Professional Professional Modifier Low / Median / High Price $76.06 / $97.33 / $175.29	Professional		$76.06	$97.33	$175.29