Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.08 / $95.22 / $107.54	Facility		$69.08	$95.22	$107.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.24 / $92.39 / $168.31	Professional		$61.24	$92.39	$168.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.32 / $125.62 / $137.06	Professional		$108.32	$125.62	$137.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.87 / $97.16 / $137.29	Professional		$72.87	$97.16	$137.29
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 $97.55 / $97.55 / $97.55	Facility		$97.55	$97.55	$97.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.31 / $100.09 / $142.34	Professional		$70.31	$100.09	$142.34
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $124.57 / $144.46 / $157.62	Professional		$124.57	$144.46	$157.62
United Facility/Professional Professional Modifier Low / Median / High Price $80.80 / $102.86 / $144.35	Professional		$80.80	$102.86	$144.35