Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.35 / $115.61 / $125.62	Facility		$90.35	$115.61	$125.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.73 / $100.40 / $165.75	Professional		$82.73	$100.40	$165.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $113.00 / $135.01 / $143.83	Professional		$113.00	$135.01	$143.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.93 / $141.07 / $141.07	Professional		$95.93	$141.07	$141.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $105.16 / $148.06 / $161.09	Facility		$105.16	$148.06	$161.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $105.16 / $131.44 / $248.99	Professional		$105.16	$131.44	$248.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.43 / $125.30 / $224.42	Professional		$98.43	$125.30	$224.42
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $143.91 / $157.10 / $196.44	Professional		$143.91	$157.10	$196.44
United Facility/Professional Professional Modifier Low / Median / High Price $94.11 / $108.99 / $170.59	Professional		$94.11	$108.99	$170.59