Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.47 / $146.16 / $164.81	Facility		$109.47	$146.16	$164.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.79 / $144.33 / $242.28	Professional		$96.79	$144.33	$242.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $155.87 / $180.62 / $198.23	Professional		$155.87	$180.62	$198.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.16 / $150.88 / $196.93	Professional		$113.16	$150.88	$196.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $105.61 / $144.47 / $176.30	Facility		$105.61	$144.47	$176.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $133.79 / $178.97 / $319.68	Professional		$133.79	$178.97	$319.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.50 / $148.50 / $148.50	Facility		$148.50	$148.50	$148.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.54 / $149.99 / $205.92	Professional		$108.54	$149.99	$205.92
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $179.25 / $207.46 / $227.96	Professional		$179.25	$207.46	$227.96
United Facility/Professional Professional Modifier Low / Median / High Price $124.89 / $156.63 / $219.79	Professional		$124.89	$156.63	$219.79