Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.08 / $88.00 / $105.40	Facility		$81.08	$88.00	$105.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.17 / $81.06 / $141.10	Professional		$61.17	$81.06	$141.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.98 / $75.98 / $75.98	Professional		$75.98	$75.98	$75.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.38 / $96.15 / $96.15	Professional		$65.38	$96.15	$96.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.19 / $93.51 / $101.84	Facility		$66.19	$93.51	$101.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.19 / $82.74 / $157.40	Professional		$66.19	$82.74	$157.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $88.44 / $149.34	Professional		$68.00	$88.44	$149.34
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $87.38 / $87.38 / $101.33	Professional		$87.38	$87.38	$101.33
United Facility/Professional Professional Modifier Low / Median / High Price $66.25 / $76.15 / $104.60	Professional		$66.25	$76.15	$104.60