Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.65 / $118.88 / $278.08	Professional		$94.65	$118.88	$278.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.47 / $155.01 / $398.16	Professional		$138.47	$155.01	$398.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.78 / $154.09 / $154.09	Professional		$104.78	$154.09	$154.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $107.04 / $146.31 / $163.19	Facility		$107.04	$146.31	$163.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.51 / $137.91 / $252.23	Professional		$104.51	$137.91	$252.23
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 $105.04 / $138.31 / $186.51	Professional		$105.04	$138.31	$186.51
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $159.25 / $159.25 / $159.25	Professional		$159.25	$159.25	$159.25
United Facility/Professional Professional Modifier Low / Median / High Price $104.51 / $127.66 / $162.02	Professional		$104.51	$127.66	$162.02