Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.70 / $42.08 / $242.76	Facility		$22.70	$42.08	$242.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.67 / $25.65 / $45.63	Professional		$17.67	$25.65	$45.63
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $68.11 / $68.11 / $68.11	Professional	50	$68.11	$68.11	$68.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.70 / $40.63 / $47.40	Professional		$23.70	$40.63	$47.40
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $60.94 / $60.94 / $60.94	Professional	50	$60.94	$60.94	$60.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $148.24 / $148.24 / $177.89	Facility		$148.24	$148.24	$177.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $27.43 / $39.74	Professional		$18.64	$27.43	$39.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.70 / $22.88 / $65.87	Facility		$20.70	$22.88	$65.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.13 / $32.13 / $33.40	Professional		$32.13	$32.13	$33.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.34 / $106.34 / $106.34	Facility		$106.34	$106.34	$106.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.17 / $39.89 / $52.82	Professional		$26.17	$39.89	$52.82
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $46.72 / $46.72 / $46.72	Professional		$46.72	$46.72	$46.72
Qualchoice Facility/Professional Professional Modifier 50 Low / Median / High Price $70.08 / $70.08 / $70.08	Professional	50	$70.08	$70.08	$70.08
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $306.00 / $768.00	Facility		$130.00	$306.00	$768.00
United Facility/Professional Professional Modifier Low / Median / High Price $26.31 / $41.85 / $57.43	Professional		$26.31	$41.85	$57.43