Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $251.19 / $524.81	Facility		$52.48	$251.19	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $52.48 / $141.25	Professional		$28.18	$52.48	$141.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $20.42 / $41.69	Professional		$14.79	$20.42	$41.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $32.36	Facility		$23.44	$23.44	$32.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $22.39 / $22.39	Professional		$15.14	$22.39	$22.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $22.39 / $33.88	Professional		$21.88	$22.39	$33.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $38.02 / $85.11	Facility		$25.70	$38.02	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $41.69 / $58.88	Professional		$17.78	$41.69	$58.88
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $69.18 / $81.28	Professional		$33.11	$69.18	$81.28
United Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $10.47 / $25.70	Facility		$10.47	$10.47	$25.70
United Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $21.88 / $37.15	Professional		$12.02	$21.88	$37.15