Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.76 / $108.55 / $131.25	Facility		$81.76	$108.55	$131.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.47 / $108.55 / $174.90	Professional		$69.47	$108.55	$174.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $86.13 / $103.14 / $180.48	Professional		$86.13	$103.14	$180.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.78 / $108.50 / $108.50	Professional		$73.78	$108.50	$108.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.08 / $107.06 / $117.69	Facility		$75.08	$107.06	$117.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.08 / $93.85 / $181.91	Professional		$75.08	$93.85	$181.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.06 / $116.14 / $205.07	Professional		$79.06	$116.14	$205.07
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $112.65 / $141.66 / $207.55	Professional		$112.65	$141.66	$207.55
United Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $98.74 / $139.01	Professional		$75.97	$98.74	$139.01