Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $112.20 / $302.00	Facility		$100.00	$112.20	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $64.57 / $162.18	Professional		$48.98	$64.57	$162.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $114.82	Facility		$85.11	$85.11	$114.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $100.00 / $100.00	Professional		$69.18	$100.00	$100.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $74.13 / $104.71	Facility		$58.88	$74.13	$104.71
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 / $87.10 / $186.21	Facility		$47.86	$87.10	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $85.11 / $120.23	Professional		$47.86	$85.11	$120.23
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
United Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $74.13	Facility		$67.61	$67.61	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $48.98 / $100.00	Professional		$30.90	$48.98	$100.00