Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $117.49 / $134.90	Facility		$104.71	$117.49	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $128.82 / $275.42	Professional		$85.11	$128.82	$275.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $100.00 / $147.91	Professional		$79.43	$100.00	$147.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $128.82	Facility		$120.23	$120.23	$128.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $128.82 / $223.87	Professional		$95.50	$128.82	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $134.90 / $194.98	Professional		$109.65	$134.90	$194.98
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $117.49 / $162.18	Professional		$95.50	$117.49	$162.18