Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $46.77 / $288.40	Facility		$28.84	$46.77	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $26.92 / $47.86	Professional		$15.85	$26.92	$47.86
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $74.13 / $74.13 / $102.33	Professional	50	$74.13	$74.13	$102.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $30.90 / $44.67	Professional		$25.12	$30.90	$44.67
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $26.92 / $26.92 / $45.71	Professional	50	$26.92	$26.92	$45.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $204.17	Facility		$147.91	$147.91	$204.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $24.55 / $39.81	Professional		$18.62	$24.55	$39.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $66.07	Facility		$22.91	$22.91	$66.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Professional		$33.11	$33.11	$33.11
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 $20.89 / $35.48 / $54.95	Professional		$20.89	$35.48	$54.95
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $47.86 / $51.29	Professional		$43.65	$47.86	$51.29
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 $17.38 / $31.62 / $52.48	Professional		$17.38	$31.62	$52.48