Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.20 / $85.77 / $96.98	Facility		$59.20	$85.77	$96.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.74 / $83.28 / $178.46	Professional		$52.74	$83.28	$178.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.86 / $124.76 / $128.78	Professional		$105.86	$124.76	$128.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.52 / $88.69 / $129.25	Professional		$66.52	$88.69	$129.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.70 / $84.47 / $102.85	Facility		$61.70	$84.47	$102.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $87.21 / $117.20 / $206.73	Professional		$87.21	$117.20	$206.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.18 / $88.18 / $88.18	Facility		$88.18	$88.18	$88.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.15 / $91.38 / $133.60	Professional		$63.15	$91.38	$133.60
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $143.47 / $143.47 / $148.10	Professional		$143.47	$143.47	$148.10
United Facility/Professional Professional Modifier Low / Median / High Price $77.81 / $97.02 / $135.72	Professional		$77.81	$97.02	$135.72