Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $91.20 / $275.42	Facility		$45.71	$91.20	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $42.66 / $95.50	Professional		$22.91	$42.66	$95.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $17.38 / $33.88	Professional		$12.59	$17.38	$33.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $45.71	Facility		$33.88	$33.88	$45.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $40.74 / $40.74	Professional		$28.18	$40.74	$40.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $29.51	Professional		$19.05	$19.05	$29.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $39.81 / $79.43	Facility		$23.44	$39.81	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $34.67 / $42.66	Professional		$17.78	$34.67	$42.66
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $33.88 / $70.79	Professional		$28.84	$33.88	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $30.20	Facility		$26.92	$26.92	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $23.99 / $48.98	Professional		$12.30	$23.99	$48.98