Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.07 / $210.87 / $353.62	Facility		$97.07	$210.87	$353.62
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $48.54 / $71.59 / $182.77	Facility	52	$48.54	$71.59	$182.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.55 / $164.39 / $277.00	Professional		$80.55	$164.39	$277.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.46 / $123.46 / $127.16	Professional		$123.46	$123.46	$127.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $315.74 / $315.74 / $315.74	Facility		$315.74	$315.74	$315.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.29 / $119.54 / $232.95	Professional		$81.29	$119.54	$232.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $68.97 / $96.56 / $109.46	Facility		$68.97	$96.56	$109.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $137.68 / $172.44 / $328.87	Professional		$137.68	$172.44	$328.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $252.36 / $252.36 / $346.94	Facility		$252.36	$252.36	$346.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.66 / $162.63 / $295.60	Professional		$84.66	$162.63	$295.60
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $141.97 / $243.83 / $243.83	Professional		$141.97	$243.83	$243.83
United Facility/Professional Professional Modifier Low / Median / High Price $155.84 / $188.84 / $353.35	Professional		$155.84	$188.84	$353.35