Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.09 / $96.09 / $251.31	Facility		$96.09	$96.09	$251.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.25 / $79.79 / $96.10	Professional		$56.25	$79.79	$96.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.32 / $90.32 / $90.32	Professional		$90.32	$90.32	$90.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.54 / $106.60 / $118.44	Professional		$80.54	$106.60	$118.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $77.64 / $94.51 / $106.71	Facility		$77.64	$94.51	$106.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69.16 / $79.36 / $164.94	Professional		$69.16	$79.36	$164.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.77 / $95.63 / $131.93	Professional		$70.77	$95.63	$131.93
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $103.87 / $103.87 / $103.87	Professional		$103.87	$103.87	$103.87
United Facility/Professional Professional Modifier Low / Median / High Price $69.70 / $91.85 / $128.19	Professional		$69.70	$91.85	$128.19