Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.06 / $240.00 / $806.40	Facility		$75.06	$240.00	$806.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.31 / $108.89 / $124.46	Professional		$106.31	$108.89	$124.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $122.00 / $128.19 / $145.09	Professional		$122.00	$128.19	$145.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.29 / $37.29 / $37.29	Professional		$37.29	$37.29	$37.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $158.86 / $158.86 / $158.86	Facility		$158.86	$158.86	$158.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.80 / $109.99 / $109.99	Facility		$95.80	$109.99	$109.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.99 / $109.99 / $109.99	Professional		$109.99	$109.99	$109.99
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $140.30 / $140.30 / $147.41	Professional		$140.30	$140.30	$147.41
United Facility/Professional Professional Modifier Low / Median / High Price $405.52 / $450.58 / $459.59	Professional		$405.52	$450.58	$459.59