Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.08 / $96.07 / $107.94	Facility		$69.08	$96.07	$107.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.24 / $90.90 / $168.31	Professional		$61.24	$90.90	$168.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.32 / $133.22 / $137.52	Professional		$108.32	$133.22	$137.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.87 / $97.16 / $137.71	Professional		$72.87	$97.16	$137.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $67.62 / $92.58 / $112.75	Facility		$67.62	$92.58	$112.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $92.98 / $124.80 / $220.70	Professional		$92.98	$124.80	$220.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.95 / $97.95 / $97.95	Facility		$97.95	$97.95	$97.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.31 / $100.11 / $142.78	Professional		$70.31	$100.11	$142.78
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $124.57 / $153.21 / $158.15	Professional		$124.57	$153.21	$158.15
United Facility/Professional Professional Modifier Low / Median / High Price $84.62 / $103.96 / $153.38	Professional		$84.62	$103.96	$153.38