Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $144.54 / $190.55	Facility		$123.03	$144.54	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $162.18 / $338.84	Professional		$104.71	$162.18	$338.84
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $120.23 / $181.97 / $389.05	Professional	25	$120.23	$181.97	$389.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $162.18 / $218.78	Professional		$117.49	$162.18	$218.78
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $128.82 / $162.18 / $208.93	Professional	25	$128.82	$162.18	$208.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $173.78	Facility		$125.89	$125.89	$173.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $154.88 / $204.17	Professional		$112.20	$154.88	$204.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $162.18 / $234.42	Facility		$125.89	$162.18	$234.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $181.97 / $371.54	Professional		$158.49	$181.97	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $134.90 / $147.91	Facility		$95.50	$134.90	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $162.18 / $269.15	Professional		$120.23	$162.18	$269.15
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $199.53 / $245.47	Professional		$158.49	$199.53	$245.47
Qualchoice Facility/Professional Professional Modifier 25 Low / Median / High Price $173.78 / $213.80 / $245.47	Professional	25	$173.78	$213.80	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $151.36 / $208.93	Professional		$114.82	$151.36	$208.93