Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.04 / $95.05 / $220.50	Facility		$95.04	$95.05	$220.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.29 / $71.17 / $100.75	Professional		$50.29	$71.17	$100.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $103.95 / $103.95 / $103.95	Professional		$103.95	$103.95	$103.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.64 / $83.64 / $83.64	Facility		$83.64	$83.64	$83.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.36 / $91.71 / $91.71	Professional		$62.36	$91.71	$91.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.37 / $73.37 / $88.04	Facility		$73.37	$73.37	$88.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.69 / $47.69 / $73.37	Professional		$47.69	$47.69	$73.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.19 / $70.34 / $155.29	Facility		$54.19	$70.34	$155.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.96 / $72.23 / $110.13	Professional		$39.96	$72.23	$110.13
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $146.31 / $146.31 / $146.31	Professional		$146.31	$146.31	$146.31
United Facility/Professional Facility Modifier Low / Median / High Price $66.03 / $66.03 / $66.03	Facility		$66.03	$66.03	$66.03
United Facility/Professional Professional Modifier Low / Median / High Price $30.82 / $44.02 / $83.37	Professional		$30.82	$44.02	$83.37