Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $123.03 / $141.25	Facility		$89.13	$123.03	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $123.03 / $275.42	Professional		$81.28	$123.03	$275.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $131.83 / $208.93	Professional		$104.71	$131.83	$208.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $131.83 / $173.78	Professional		$120.23	$131.83	$173.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $120.23 / $169.82	Facility		$93.33	$120.23	$169.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $144.54 / $295.12	Professional		$125.89	$144.54	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $128.82 / $204.17	Professional		$91.20	$128.82	$204.17
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $186.21	Professional		$169.82	$169.82	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $123.03 / $169.82	Professional		$85.11	$123.03	$169.82