Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.08 / $112.37 / $123.71	Facility		$88.08	$112.37	$123.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.28 / $99.93 / $222.30	Professional		$82.28	$99.93	$222.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.19 / $130.99 / $144.32	Professional		$123.19	$130.99	$144.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.57 / $146.41 / $146.41	Professional		$99.57	$146.41	$146.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $108.63 / $153.44 / $167.18	Facility		$108.63	$153.44	$167.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $108.63 / $135.79 / $258.41	Professional		$108.63	$135.79	$258.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.47 / $121.25 / $218.61	Professional		$94.47	$121.25	$218.61
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $141.66 / $150.65 / $166.09	Professional		$141.66	$150.65	$166.09
United Facility/Professional Professional Modifier Low / Median / High Price $84.77 / $102.94 / $164.69	Professional		$84.77	$102.94	$164.69