Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.88 / $184.00 / $219.10	Facility		$20.88	$184.00	$219.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $17.48 / $26.99	Professional		$9.61	$17.48	$26.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.41 / $17.89 / $29.13	Professional		$15.41	$17.89	$29.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.46 / $58.46 / $70.15	Facility		$58.46	$58.46	$70.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.94 / $14.48 / $14.48	Professional		$10.94	$14.48	$14.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.39 / $12.19 / $13.93	Facility		$10.39	$12.19	$13.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $11.18 / $23.32	Professional		$9.52	$11.18	$23.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.53 / $67.53 / $67.53	Facility		$67.53	$67.53	$67.53
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $18.79 / $19.70 / $33.50	Professional		$18.79	$19.70	$33.50
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $328.00 / $768.00	Facility		$130.00	$328.00	$768.00
United Facility/Professional Professional Modifier Low / Median / High Price $9.42 / $17.18 / $26.99	Professional		$9.42	$17.18	$26.99