Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.03 / $92.03 / $122.10	Facility		$92.03	$92.03	$122.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.03 / $92.03 / $97.96	Professional		$92.03	$92.03	$97.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $110.43 / $110.43 / $110.43	Professional		$110.43	$110.43	$110.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.06 / $92.75 / $92.75	Professional		$70.06	$92.75	$92.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $88.68 / $121.30 / $146.32	Facility		$88.68	$121.30	$146.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $86.64 / $111.63 / $207.21	Professional		$86.64	$111.63	$207.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.36 / $86.90 / $86.90	Professional		$53.36	$86.90	$86.90
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $126.99 / $130.41 / $130.41	Professional		$126.99	$130.41	$130.41
United Facility/Professional Professional Modifier Low / Median / High Price $80.06 / $98.46 / $133.32	Professional		$80.06	$98.46	$133.32