Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $102.33 / $123.03	Facility		$89.13	$102.33	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $61.66 / $269.15	Professional		$50.12	$61.66	$269.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $102.33	Facility		$74.13	$74.13	$102.33
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 $52.48 / $52.48 / $91.20	Facility		$52.48	$52.48	$91.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $66.07	Professional		$42.66	$42.66	$66.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $77.62 / $165.96	Facility		$42.66	$77.62	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $77.62 / $109.65	Professional		$42.66	$77.62	$109.65
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $66.07	Facility		$58.88	$58.88	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $44.67 / $89.13	Professional		$27.54	$44.67	$89.13