Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $89.13 / $181.97	Facility		$25.12	$89.13	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $21.88 / $53.70	Professional		$12.02	$21.88	$53.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $9.77 / $17.38	Professional		$7.24	$9.77	$17.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $25.70	Facility		$18.62	$18.62	$25.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $26.92 / $26.92	Professional		$18.62	$26.92	$26.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Facility		$16.98	$16.98	$16.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $16.22	Professional		$10.72	$10.72	$16.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $21.88 / $43.65	Facility		$12.88	$21.88	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $18.62 / $23.44	Professional		$9.77	$18.62	$23.44
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Professional		$18.62	$18.62	$18.62
United Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $19.50	Facility		$14.79	$14.79	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $13.18 / $26.92	Professional		$6.92	$13.18	$26.92