Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.31 / $144.18 / $474.30	Facility		$67.31	$144.18	$474.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.95 / $144.18 / $144.18	Professional		$67.95	$144.18	$144.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.43 / $114.43 / $114.43	Professional		$114.43	$114.43	$114.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $130.44 / $130.44 / $130.44	Facility		$130.44	$130.44	$130.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.82 / $128.74 / $143.04	Professional		$85.82	$128.74	$143.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $120.15 / $120.15 / $120.15	Facility		$120.15	$120.15	$120.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.38 / $74.38 / $114.43	Professional		$74.38	$74.38	$114.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.55 / $86.28 / $171.07	Facility		$67.55	$86.28	$171.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.16 / $119.63 / $149.53	Professional		$60.16	$119.63	$149.53
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $131.59 / $131.59 / $131.59	Professional		$131.59	$131.59	$131.59
United Facility/Professional Professional Modifier Low / Median / High Price $40.95 / $48.06 / $79.94	Professional		$40.95	$48.06	$79.94