Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.78 / $117.17 / $264.67	Facility		$52.78	$117.17	$264.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.94 / $52.79 / $52.79	Professional		$27.94	$52.79	$52.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.67 / $70.67 / $70.67	Professional		$70.67	$70.67	$70.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.76 / $44.76 / $44.76	Facility		$44.76	$44.76	$44.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.36 / $49.08 / $49.08	Professional		$33.36	$49.08	$49.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.22 / $41.22 / $41.22	Facility		$41.22	$41.22	$41.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.52 / $25.52 / $39.26	Professional		$25.52	$25.52	$39.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.60 / $41.92 / $86.11	Facility		$29.60	$41.92	$86.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.16 / $42.05 / $56.27	Professional		$20.16	$42.05	$56.27
United Facility/Professional Facility Modifier Low / Median / High Price $35.33 / $35.33 / $39.26	Facility		$35.33	$35.33	$39.26
United Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $23.56 / $30.77	Professional		$16.48	$23.56	$30.77