Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.15 / $114.15 / $124.42	Facility		$79.15	$114.15	$124.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.04 / $99.01 / $176.08	Professional		$70.04	$99.01	$176.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.37 / $147.72 / $155.91	Professional		$123.37	$147.72	$155.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.63 / $110.17 / $156.22	Professional		$82.63	$110.17	$156.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $76.95 / $105.39 / $128.38	Facility		$76.95	$105.39	$128.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $105.90 / $142.16 / $251.91	Professional		$105.90	$142.16	$251.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.89 / $115.89 / $115.89	Facility		$115.89	$115.89	$115.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.42 / $115.81 / $161.79	Professional		$80.42	$115.81	$161.79
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $141.88 / $164.53 / $179.31	Professional		$141.88	$164.53	$179.31
United Facility/Professional Professional Modifier Low / Median / High Price $96.86 / $123.29 / $164.41	Professional		$96.86	$123.29	$164.41