Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $218.78	Facility		$95.50	$95.50	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $61.66 / $263.03	Professional		$47.86	$61.66	$263.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $74.13 / $125.89	Professional		$61.66	$74.13	$125.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $114.82	Facility		$83.18	$83.18	$114.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $91.20 / $91.20	Professional		$61.66	$91.20	$91.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $74.13 / $102.33	Facility		$58.88	$74.13	$102.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $74.13	Professional		$47.86	$47.86	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $72.44 / $154.88	Facility		$47.86	$72.44	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $74.13 / $109.65	Professional		$39.81	$74.13	$109.65
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $85.11 / $147.91	Professional		$72.44	$85.11	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $74.13	Facility		$66.07	$66.07	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $43.65 / $83.18	Professional		$30.90	$43.65	$83.18