Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $48.98 / $263.03	Facility		$34.67	$48.98	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $41.69 / $102.33	Professional		$26.92	$41.69	$102.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $40.74 / $70.79	Professional		$23.99	$40.74	$70.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $162.18	Facility		$117.49	$117.49	$162.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $40.74 / $58.88	Professional		$30.90	$40.74	$58.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $48.98 / $69.18	Professional		$30.90	$48.98	$69.18
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $67.61 / $81.28	Professional		$58.88	$67.61	$81.28
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $331.13 / $776.25	Facility		$128.82	$331.13	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $40.74 / $66.07	Professional		$27.54	$40.74	$66.07