Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $128.82 / $204.17	Facility		$20.89	$128.82	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $15.85 / $37.15	Professional		$9.55	$15.85	$37.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.30 / $19.50	Professional		$9.55	$12.30	$19.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $79.43	Facility		$58.88	$58.88	$79.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $14.45	Professional		$10.96	$10.96	$14.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $10.47 / $11.48	Facility		$10.47	$10.47	$11.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $10.23 / $23.99	Professional		$9.55	$10.23	$23.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.05 / $28.18	Professional		$15.85	$19.05	$28.18
United Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $275.42 / $776.25	Facility		$95.50	$275.42	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $16.60 / $26.92	Professional		$9.33	$16.60	$26.92