Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.08 / $106.29 / $114.88	Facility		$69.08	$106.29	$114.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.24 / $96.13 / $177.00	Professional		$61.24	$96.13	$177.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $113.18 / $130.71 / $139.02	Professional		$113.18	$130.71	$139.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.87 / $97.16 / $143.63	Professional		$72.87	$97.16	$143.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $67.62 / $92.58 / $112.75	Facility		$67.62	$92.58	$112.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $97.15 / $130.61 / $230.40	Professional		$97.15	$130.61	$230.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.42 / $109.42 / $109.42	Facility		$109.42	$109.42	$109.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.31 / $105.30 / $148.13	Professional		$70.31	$105.30	$148.13
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $130.16 / $155.85 / $159.87	Professional		$130.16	$155.85	$159.87
United Facility/Professional Professional Modifier Low / Median / High Price $87.82 / $110.46 / $150.19	Professional		$87.82	$110.46	$150.19