Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.54 / $132.60 / $272.70	Facility		$30.54	$132.60	$272.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.51 / $30.54 / $30.54	Professional		$15.51	$30.54	$30.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.63 / $19.63 / $19.63	Professional		$19.63	$19.63	$19.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.38 / $22.38 / $22.38	Facility		$22.38	$22.38	$22.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.25 / $32.72 / $32.72	Professional		$22.25	$32.72	$32.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.61 / $20.61 / $20.61	Facility		$20.61	$20.61	$20.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.76 / $12.76 / $19.63	Professional		$12.76	$12.76	$19.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.80 / $24.23 / $49.69	Facility		$14.80	$24.23	$49.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.62 / $22.72 / $28.39	Professional		$11.62	$22.72	$28.39
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $22.57 / $22.57 / $22.57	Professional		$22.57	$22.57	$22.57
United Facility/Professional Professional Modifier Low / Median / High Price $8.24 / $12.60 / $17.79	Professional		$8.24	$12.60	$17.79