Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.15 / $104.87 / $120.43	Facility		$79.15	$104.87	$120.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.04 / $98.98 / $183.14	Professional		$70.04	$98.98	$183.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $110.88 / $136.97 / $150.40	Professional		$110.88	$136.97	$150.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.63 / $110.17 / $150.31	Professional		$82.63	$110.17	$150.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $76.95 / $105.39 / $128.38	Facility		$76.95	$105.39	$128.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $101.73 / $136.33 / $242.23	Professional		$101.73	$136.33	$242.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.23 / $109.23 / $109.23	Facility		$109.23	$109.23	$109.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.58 / $110.79 / $156.44	Professional		$79.58	$110.79	$156.44
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $136.30 / $172.96 / $172.96	Professional		$136.30	$172.96	$172.96
United Facility/Professional Professional Modifier Low / Median / High Price $92.72 / $118.96 / $167.46	Professional		$92.72	$118.96	$167.46