Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $97.72 / $1,023.29	Facility		$85.11	$97.72	$1,023.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $85.11 / $218.78	Professional		$83.18	$85.11	$218.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $93.33 / $134.90	Professional		$61.66	$93.33	$134.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $100.00	Facility		$87.10	$87.10	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $93.33	Professional		$85.11	$85.11	$93.33