Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.31 / $80.84 / $99.21	Facility		$78.31	$80.84	$99.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.01 / $78.31 / $171.36	Professional		$61.01	$78.31	$171.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.79 / $91.78 / $129.54	Professional		$84.79	$91.78	$129.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.88 / $99.83 / $99.83	Professional		$67.88	$99.83	$99.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.26 / $104.66 / $114.00	Facility		$74.26	$104.66	$114.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.26 / $92.83 / $176.21	Professional		$74.26	$92.83	$176.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.18 / $88.32 / $151.58	Professional		$68.18	$88.32	$151.58
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $87.23 / $108.96 / $148.97	Professional		$87.23	$108.96	$148.97
United Facility/Professional Professional Modifier Low / Median / High Price $64.64 / $75.01 / $108.75	Professional		$64.64	$75.01	$108.75