Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.25 / $147.03 / $187.70	Facility		$131.25	$147.03	$187.70
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $478.80 / $478.80 / $478.80	Facility	25	$478.80	$478.80	$478.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.46 / $143.49 / $214.91	Professional		$107.46	$143.49	$214.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $136.62 / $161.61 / $178.00	Professional		$136.62	$161.61	$178.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.08 / $172.18 / $172.18	Professional		$117.08	$172.18	$172.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $119.17 / $168.94 / $184.71	Facility		$119.17	$168.94	$184.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $119.17 / $148.96 / $285.51	Professional		$119.17	$148.96	$285.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.25 / $158.04 / $272.17	Professional		$122.25	$158.04	$272.17
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $157.11 / $198.29 / $204.70	Professional		$157.11	$198.29	$204.70
United Facility/Professional Professional Modifier Low / Median / High Price $112.31 / $134.09 / $190.72	Professional		$112.31	$134.09	$190.72