Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.90 / $89.90 / $114.46	Professional		$89.90	$89.90	$114.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.74 / $154.74 / $164.42	Professional		$154.74	$154.74	$164.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.97 / $195.86 / $217.62	Professional		$147.97	$195.86	$217.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.23 / $17.23 / $24.34	Facility		$17.23	$17.23	$24.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $17.23 / $24.34	Professional		$17.23	$17.23	$24.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.12 / $129.12 / $153.94	Facility		$129.12	$129.12	$153.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.75 / $129.12 / $153.94	Professional		$109.75	$129.12	$153.94
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $177.95 / $177.95 / $189.08	Professional		$177.95	$177.95	$189.08
United Facility/Professional Professional Modifier Low / Median / High Price $46.00 / $106.97 / $158.50	Professional		$46.00	$106.97	$158.50