Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.94 / $171.71 / $216.56	Facility		$145.94	$171.71	$216.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.78 / $168.16 / $236.24	Professional		$128.78	$168.16	$236.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.78 / $161.41 / $179.52	Professional		$154.78	$161.41	$179.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.23 / $233.23 / $233.23	Professional		$233.23	$233.23	$233.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $124.08 / $169.97 / $207.38	Facility		$124.08	$169.97	$207.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $144.22 / $192.37 / $344.44	Professional		$144.22	$192.37	$344.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.09 / $184.09 / $184.09	Facility		$184.09	$184.09	$184.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.88 / $189.58 / $251.21	Professional		$133.88	$189.58	$251.21
United Facility/Professional Professional Modifier Low / Median / High Price $154.05 / $194.23 / $245.38	Professional		$154.05	$194.23	$245.38