Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.42 / $80.84 / $100.74	Facility		$67.42	$80.84	$100.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.86 / $78.40 / $160.50	Professional		$60.86	$78.40	$160.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.20 / $89.27 / $99.62	Professional		$83.20	$89.27	$99.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.17 / $97.31 / $97.31	Professional		$66.17	$97.31	$97.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $72.56 / $102.80 / $112.32	Facility		$72.56	$102.80	$112.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $72.56 / $90.70 / $173.62	Professional		$72.56	$90.70	$173.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.50 / $84.49 / $151.04	Professional		$64.50	$84.49	$151.04
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $84.09 / $104.52 / $114.56	Professional		$84.09	$104.52	$114.56
United Facility/Professional Professional Modifier Low / Median / High Price $58.90 / $72.94 / $100.63	Professional		$58.90	$72.94	$100.63