Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.08 / $89.62 / $318.00	Professional		$72.08	$89.62	$318.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.67 / $99.42 / $115.46	Professional		$77.67	$99.42	$115.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.66 / $98.81 / $98.81	Professional		$74.66	$98.81	$98.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $73.31 / $136.12	Professional		$57.54	$73.31	$136.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.38 / $88.60 / $129.72	Professional		$64.38	$88.60	$129.72
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $89.32 / $114.33 / $132.78	Professional		$89.32	$114.33	$132.78
United Facility/Professional Professional Modifier Low / Median / High Price $52.13 / $73.70 / $108.10	Professional		$52.13	$73.70	$108.10