Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.02 / $124.45 / $141.28	Facility		$89.02	$124.45	$141.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.84 / $113.31 / $210.69	Professional		$78.84	$113.31	$210.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $136.85 / $138.83 / $176.61	Professional		$136.85	$138.83	$176.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.37 / $129.83 / $175.45	Professional		$97.37	$129.83	$175.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $90.94 / $124.39 / $151.86	Facility		$90.94	$124.39	$151.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $119.17 / $159.63 / $284.52	Professional		$119.17	$159.63	$284.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.06 / $126.06 / $126.06	Facility		$126.06	$126.06	$126.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.08 / $128.58 / $183.09	Professional		$93.08	$128.58	$183.09
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $157.38 / $159.65 / $185.01	Professional		$157.38	$159.65	$185.01
United Facility/Professional Professional Modifier Low / Median / High Price $109.18 / $136.99 / $195.81	Professional		$109.18	$136.99	$195.81