Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $144.54 / $165.96	Facility		$109.65	$144.54	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $147.91 / $316.23	Professional		$100.00	$147.91	$316.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $147.91 / $199.53	Professional		$117.49	$147.91	$199.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $147.91 / $194.98	Professional		$134.90	$147.91	$194.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $141.25 / $199.53	Facility		$107.15	$141.25	$199.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $162.18 / $331.13	Professional		$141.25	$162.18	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $147.91 / $239.88	Professional		$107.15	$147.91	$239.88
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $194.98 / $229.09	Professional		$173.78	$194.98	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $141.25 / $190.55	Professional		$102.33	$141.25	$190.55