Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.59 / $129.55 / $145.37	Facility		$99.59	$129.55	$145.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.90 / $121.87 / $218.84	Professional		$83.90	$121.87	$218.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.63 / $173.26 / $177.08	Professional		$128.63	$173.26	$177.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.37 / $129.83 / $175.87	Professional		$97.37	$129.83	$175.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $90.94 / $124.39 / $151.86	Facility		$90.94	$124.39	$151.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $119.73 / $160.41 / $285.83	Professional		$119.73	$160.41	$285.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.45 / $126.45 / $126.45	Facility		$126.45	$126.45	$126.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.26 / $133.02 / $183.09	Professional		$95.26	$133.02	$183.09
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $160.41 / $167.13 / $199.25	Professional		$160.41	$167.13	$199.25
United Facility/Professional Professional Modifier Low / Median / High Price $109.92 / $139.66 / $196.27	Professional		$109.92	$139.66	$196.27