Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.50 / $123.89 / $303.31	Professional		$98.50	$123.89	$303.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $113.21 / $143.87 / $429.00	Professional		$113.21	$143.87	$429.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.12 / $160.47 / $160.47	Professional		$109.12	$160.47	$160.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $111.12 / $152.01 / $169.29	Facility		$111.12	$152.01	$169.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $108.58 / $143.29 / $261.66	Professional		$108.58	$143.29	$261.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $541.00 / $541.00 / $541.00	Facility		$541.00	$541.00	$541.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.29 / $145.54 / $199.29	Professional		$109.29	$145.54	$199.29
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $165.45 / $174.19 / $174.19	Professional		$165.45	$174.19	$174.19
United Facility/Professional Facility Modifier Low / Median / High Price $0.13 / $267.20 / $267.20	Facility		$0.13	$267.20	$267.20
United Facility/Professional Professional Modifier Low / Median / High Price $110.52 / $135.74 / $168.74	Professional		$110.52	$135.74	$168.74