Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $144.54 / $478.63	Facility		$69.18	$144.54	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $107.15 / $213.80	Professional		$75.86	$107.15	$213.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $57.54 / $114.82	Professional		$45.71	$57.54	$114.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $177.83	Facility		$131.83	$131.83	$177.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $128.82	Professional		$85.11	$85.11	$128.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $114.82	Professional		$74.13	$74.13	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $147.91 / $213.80	Facility		$67.61	$147.91	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $120.23 / $147.91	Professional		$60.26	$120.23	$147.91
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $102.33 / $114.82	Facility		$74.13	$102.33	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $47.86 / $91.20	Professional		$40.74	$47.86	$91.20