Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.14 / $107.42 / $20,131.20	Facility		$102.14	$107.42	$20,131.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $89.38 / $103.15	Professional		$85.12	$89.38	$103.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.25 / $85.25 / $92.26	Professional		$85.25	$85.25	$92.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.48 / $92.48 / $92.48	Facility		$92.48	$92.48	$92.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.03 / $92.48 / $92.48	Professional		$87.03	$92.48	$92.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.12 / $110.83 / $127.68	Facility		$85.12	$110.83	$127.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $85.12 / $197.36	Professional		$85.12	$85.12	$197.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.59 / $83.88 / $85.12	Facility		$79.59	$83.88	$85.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $85.12 / $92.35	Professional		$85.12	$85.12	$92.35
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $98.04 / $98.04 / $98.04	Professional		$98.04	$98.04	$98.04
United Facility/Professional Professional Modifier Low / Median / High Price $82.57 / $85.12 / $97.92	Professional		$82.57	$85.12	$97.92