Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $93.33 / $154.88	Professional		$75.86	$93.33	$154.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $85.11 / $151.36	Professional		$72.44	$85.11	$151.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $97.72	Facility		$72.44	$72.44	$97.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $97.72 / $131.83	Professional		$89.13	$97.72	$131.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $85.11 / $147.91	Facility		$63.10	$85.11	$147.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $114.82 / $158.49	Professional		$77.62	$114.82	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $112.20 / $234.42	Professional		$67.61	$112.20	$234.42
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $173.78	Professional		$125.89	$125.89	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $100.00 / $173.78	Professional		$75.86	$100.00	$173.78