Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $114.82 / $134.90	Facility		$89.13	$114.82	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $128.82 / $269.15	Professional		$81.28	$128.82	$269.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $120.23 / $165.96	Professional		$97.72	$120.23	$165.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $123.03 / $162.18	Professional		$112.20	$123.03	$162.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $114.82 / $162.18	Facility		$89.13	$114.82	$162.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $134.90 / $275.42	Professional		$117.49	$134.90	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $120.23 / $194.98	Professional		$87.10	$120.23	$194.98
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $154.88 / $190.55	Professional		$120.23	$154.88	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $114.82 / $158.49	Professional		$83.18	$114.82	$158.49