Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.39 / $179.53 / $530.88	Facility		$64.39	$179.53	$530.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.89 / $67.84 / $74.62	Professional		$47.89	$67.84	$74.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.14 / $62.14 / $92.50	Professional		$62.14	$62.14	$92.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.49 / $80.81 / $80.81	Professional		$48.49	$80.81	$80.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $65.25 / $65.25 / $65.25	Facility		$65.25	$65.25	$65.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.39 / $40.39 / $62.14	Professional		$40.39	$40.39	$62.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.39 / $80.12 / $150.72	Facility		$40.39	$80.12	$150.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.87 / $71.45 / $89.31	Professional		$30.87	$71.45	$89.31
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $106.38 / $106.38 / $106.38	Professional		$106.38	$106.38	$106.38
United Facility/Professional Facility Modifier Low / Median / High Price $58.19 / $58.19 / $58.19	Facility		$58.19	$58.19	$58.19
United Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $37.28 / $62.14	Professional		$26.10	$37.28	$62.14