Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.23 / $87.23 / $194.00	Professional		$87.23	$87.23	$194.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $167.95 / $167.95 / $167.95	Professional		$167.95	$167.95	$167.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.65 / $190.13 / $211.25	Professional		$143.65	$190.13	$211.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.73 / $24.86 / $177.32	Facility		$16.73	$24.86	$177.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.73 / $24.86 / $177.32	Professional		$16.73	$24.86	$177.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $110.00 / $153.76	Facility		$110.00	$110.00	$153.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.15 / $93.50 / $110.00	Professional		$13.15	$93.50	$110.00
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $193.14 / $193.14 / $193.14	Professional		$193.14	$193.14	$193.14
United Facility/Professional Professional Modifier Low / Median / High Price $49.08 / $84.86 / $173.50	Professional		$49.08	$84.86	$173.50