Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.05 / $96.92 / $1,023.60	Facility		$85.05	$96.92	$1,023.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.93 / $86.98 / $130.59	Professional		$84.93	$86.98	$130.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.31 / $94.31 / $115.32	Professional		$94.31	$94.31	$115.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.21 / $97.21 / $97.21	Facility		$97.21	$97.21	$97.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.21 / $97.21 / $97.21	Professional		$97.21	$97.21	$97.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $139.01 / $139.01 / $139.01	Facility		$139.01	$139.01	$139.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.98 / $86.98 / $99.41	Facility		$86.98	$86.98	$99.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.98 / $86.98 / $86.98	Professional		$86.98	$86.98	$86.98
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $108.46 / $108.46 / $132.62	Professional		$108.46	$108.46	$132.62
United Facility/Professional Professional Modifier Low / Median / High Price $85.27 / $85.27 / $92.28	Professional		$85.27	$85.27	$92.28