Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $120.23 / $169.82	Professional		$87.10	$120.23	$169.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $100.00 / $131.83	Professional		$81.28	$100.00	$131.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $134.90	Professional		$102.33	$102.33	$134.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $114.82 / $194.98	Professional		$87.10	$114.82	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $134.90 / $181.97	Professional		$93.33	$134.90	$181.97
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $151.36	Professional		$123.03	$123.03	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $109.65 / $158.49	Professional		$89.13	$109.65	$158.49