Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $204.17 / $630.96	Facility		$74.13	$204.17	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $63.10 / $158.49	Professional		$37.15	$63.10	$158.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.90 / $47.86	Professional		$23.99	$30.90	$47.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $74.13	Facility		$53.70	$53.70	$74.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $66.07 / $66.07	Professional		$44.67	$66.07	$66.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $47.86	Professional		$30.90	$30.90	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $61.66 / $123.03	Facility		$38.02	$61.66	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $38.90 / $67.61	Professional		$28.84	$38.90	$67.61
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $54.95 / $97.72	Professional		$46.77	$54.95	$97.72
United Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $42.66 / $47.86	Facility		$33.88	$42.66	$47.86
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $33.88 / $79.43	Professional		$19.95	$33.88	$79.43