Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.02 / $124.45 / $135.58	Facility		$89.02	$124.45	$135.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.84 / $123.47 / $233.93	Professional		$78.84	$123.47	$233.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.56 / $166.20 / $171.56	Professional		$131.56	$166.20	$171.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.29 / $124.38 / $170.43	Professional		$93.29	$124.38	$170.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $87.22 / $119.21 / $145.66	Facility		$87.22	$119.21	$145.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $115.75 / $155.12 / $276.58	Professional		$115.75	$155.12	$276.58
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 $89.59 / $126.06 / $176.92	Professional		$89.59	$126.06	$176.92
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $152.86 / $162.46 / $197.29	Professional		$152.86	$162.46	$197.29
United Facility/Professional Professional Modifier Low / Median / High Price $108.27 / $136.99 / $189.48	Professional		$108.27	$136.99	$189.48