Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.09 / $139.09 / $139.09	Facility		$139.09	$139.09	$139.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $117.21 / $159.76	Professional		$89.34	$117.21	$159.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.38 / $159.49 / $203.96	Professional		$151.38	$159.49	$203.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $458.88 / $458.88 / $458.88	Facility		$458.88	$458.88	$458.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.29 / $128.77 / $155.77	Professional		$97.29	$128.77	$155.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.91 / $81.63 / $154.81	Facility		$74.91	$81.63	$154.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $96.37 / $138.10 / $198.15	Professional		$96.37	$138.10	$198.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.00 / $134.00 / $212.34	Professional		$91.00	$134.00	$212.34
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $174.10 / $192.99 / $234.55	Professional		$174.10	$192.99	$234.55
United Facility/Professional Professional Modifier Low / Median / High Price $109.74 / $144.87 / $243.46	Professional		$109.74	$144.87	$243.46