Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.76 / $143.76 / $189.89	Facility		$143.76	$143.76	$189.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.45 / $101.45 / $142.58	Professional		$68.45	$101.45	$142.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $121.32 / $142.72 / $164.66	Professional		$121.32	$142.72	$164.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $72.00 / $72.00	Facility		$72.00	$72.00	$72.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.52 / $136.06 / $184.64	Professional		$92.52	$136.06	$184.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.73 / $76.52 / $146.18	Facility		$70.73	$76.52	$146.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $100.71 / $144.31 / $207.06	Professional		$100.71	$144.31	$207.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.14 / $117.07 / $228.27	Professional		$77.14	$117.07	$228.27
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $139.52 / $164.14 / $189.36	Professional		$139.52	$164.14	$189.36
United Facility/Professional Professional Modifier Low / Median / High Price $104.84 / $146.09 / $195.10	Professional		$104.84	$146.09	$195.10