Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.34 / $172.67 / $257.01	Professional		$124.34	$172.67	$257.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $136.86 / $136.86 / $148.47	Professional		$136.86	$136.86	$148.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.07 / $174.80 / $174.80	Professional		$132.07	$174.80	$174.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $101.38 / $129.69 / $238.60	Professional		$101.38	$129.69	$238.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.44 / $194.21 / $243.83	Professional		$120.44	$194.21	$243.83
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $157.38 / $157.38 / $170.74	Professional		$157.38	$157.38	$170.74
United Facility/Professional Professional Modifier Low / Median / High Price $116.30 / $144.36 / $220.18	Professional		$116.30	$144.36	$220.18