Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $1,000.00 / $2,041.74	Facility		$14.45	$1,000.00	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $18.20 / $45.71	Professional		$11.75	$18.20	$45.71
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $18.20 / $30.90 / $91.20	Professional	50	$18.20	$30.90	$91.20
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $12.02 / $12.02 / $12.02	Professional	52	$12.02	$12.02	$12.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $14.45 / $23.44	Professional		$11.48	$14.45	$23.44
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $16.98 / $22.91 / $35.48	Professional	50	$16.98	$22.91	$35.48
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 $15.49 / $15.49 / $20.42	Professional		$15.49	$15.49	$20.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $31.62	Professional		$17.38	$17.38	$31.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $21.38 / $24.55	Professional		$11.48	$21.38	$24.55
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $22.91 / $30.90	Professional		$19.50	$22.91	$30.90
Qualchoice Facility/Professional Professional Modifier 50 Low / Median / High Price $27.54 / $34.67 / $41.69	Professional	50	$27.54	$34.67	$41.69
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 $11.48 / $14.45 / $26.30	Professional		$11.48	$14.45	$26.30