Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.83 / $82.77 / $114.30	Facility		$11.83	$82.77	$114.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.50 / $63.72 / $90.21	Professional		$40.50	$63.72	$90.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.70 / $83.70 / $83.70	Professional		$83.70	$83.70	$83.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.89 / $74.89 / $74.89	Facility		$74.89	$74.89	$74.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.83 / $82.11 / $82.11	Professional		$55.83	$82.11	$82.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $65.69 / $65.69 / $78.83	Facility		$65.69	$65.69	$78.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42.70 / $42.70 / $65.69	Professional		$42.70	$42.70	$65.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.63 / $56.64 / $124.63	Facility		$43.63	$56.64	$124.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.17 / $59.89 / $98.74	Professional		$32.17	$59.89	$98.74
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $117.82 / $117.82 / $117.82	Professional		$117.82	$117.82	$117.82
United Facility/Professional Professional Modifier Low / Median / High Price $27.59 / $39.40 / $67.13	Professional		$27.59	$39.40	$67.13