Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.15 / $105.72 / $123.89	Facility		$79.15	$105.72	$123.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.04 / $105.72 / $188.08	Professional		$70.04	$105.72	$188.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $103.50 / $149.27 / $154.09	Professional		$103.50	$149.27	$154.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.22 / $113.62 / $153.75	Professional		$85.22	$113.62	$153.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.72 / $108.93 / $133.18	Facility		$79.72	$108.93	$133.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.52 / $140.01 / $249.92	Professional		$104.52	$140.01	$249.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.63 / $103.63 / $103.63	Facility		$103.63	$103.63	$103.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.50 / $112.99 / $159.88	Professional		$81.50	$112.99	$159.88
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $119.03 / $145.91 / $177.20	Professional		$119.03	$145.91	$177.20
United Facility/Professional Professional Modifier Low / Median / High Price $91.26 / $116.12 / $164.67	Professional		$91.26	$116.12	$164.67