Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.22 / $218.27 / $239.79	Facility		$171.22	$218.27	$239.79
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $145.80 / $145.80 / $874.80	Facility	25	$145.80	$145.80	$874.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.43 / $186.84 / $292.32	Professional		$151.43	$186.84	$292.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $182.41 / $239.70 / $263.55	Professional		$182.41	$239.70	$263.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.79 / $229.10 / $229.10	Professional		$155.79	$229.10	$229.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $159.06 / $225.27 / $246.06	Facility		$159.06	$225.27	$246.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $159.06 / $198.83 / $380.34	Professional		$159.06	$198.83	$380.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.21 / $232.76 / $400.57	Professional		$174.21	$232.76	$400.57
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $209.77 / $234.31 / $473.57	Professional		$209.77	$234.31	$473.57
United Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $197.00 / $275.19	Professional		$164.25	$197.00	$275.19