Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.15 / $111.14 / $124.83	Facility		$79.15	$111.14	$124.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.06 / $96.83 / $149.78	Professional		$65.06	$96.83	$149.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $118.63 / $142.05 / $145.25	Professional		$118.63	$142.05	$145.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.84 / $103.79 / $150.26	Professional		$77.84	$103.79	$150.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $72.58 / $99.34 / $121.15	Facility		$72.58	$99.34	$121.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $101.83 / $136.79 / $242.47	Professional		$101.83	$136.79	$242.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.18 / $118.18 / $118.18	Facility		$118.18	$118.18	$118.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.22 / $112.50 / $155.34	Professional		$76.22	$112.50	$155.34
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $136.41 / $157.04 / $158.21	Professional		$136.41	$157.04	$158.21
United Facility/Professional Professional Modifier Low / Median / High Price $96.06 / $120.03 / $159.80	Professional		$96.06	$120.03	$159.80