Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.00 / $118.76 / $137.44	Facility		$105.00	$118.76	$137.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.88 / $125.66 / $173.04	Professional		$92.88	$125.66	$173.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.30 / $94.30 / $119.57	Professional		$94.30	$94.30	$119.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $91.78 / $129.30 / $140.58	Facility		$91.78	$129.30	$140.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $91.78 / $114.73 / $217.29	Professional		$91.78	$114.73	$217.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.84 / $134.28 / $195.75	Professional		$109.84	$134.28	$195.75
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $137.51 / $137.51 / $137.51	Professional		$137.51	$137.51	$137.51
United Facility/Professional Professional Modifier Low / Median / High Price $94.65 / $116.30 / $158.88	Professional		$94.65	$116.30	$158.88