Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.58 / $106.58 / $108.05	Facility		$106.58	$106.58	$108.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.16 / $88.87 / $118.06	Professional		$65.16	$88.87	$118.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.66 / $135.91 / $155.59	Professional		$108.66	$135.91	$155.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.56 / $93.40 / $118.49	Professional		$70.56	$93.40	$118.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.61 / $58.59 / $110.79	Facility		$53.61	$58.59	$110.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $72.09 / $103.30 / $148.22	Professional		$72.09	$103.30	$148.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.00 / $102.00 / $163.03	Professional		$69.00	$102.00	$163.03
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $124.96 / $156.30 / $178.93	Professional		$124.96	$156.30	$178.93
United Facility/Professional Professional Modifier Low / Median / High Price $85.07 / $112.19 / $185.25	Professional		$85.07	$112.19	$185.25