Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.62 / $244.34 / $298.81	Facility		$172.62	$244.34	$298.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.27 / $200.05 / $254.67	Professional		$157.27	$200.05	$254.67
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $254.22 / $254.22 / $260.00	Professional	25	$254.22	$254.22	$260.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $232.02 / $232.02 / $298.97	Professional		$232.02	$232.02	$298.97
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $220.00 / $290.10 / $290.10	Professional	25	$220.00	$290.10	$290.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.15 / $235.51 / $343.94	Professional		$160.15	$235.51	$343.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $130.78 / $137.44 / $163.47	Facility		$130.78	$137.44	$163.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.05 / $262.02 / $323.69	Professional		$152.05	$262.02	$323.69
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $266.82 / $266.82 / $343.82	Professional		$266.82	$266.82	$343.82
Qualchoice Facility/Professional Professional Modifier 25 Low / Median / High Price $253.00 / $333.62 / $333.62	Professional	25	$253.00	$333.62	$333.62
United Facility/Professional Professional Modifier Low / Median / High Price $211.31 / $253.92 / $382.72	Professional		$211.31	$253.92	$382.72