Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $51.29 / $85.11	Facility		$38.90	$51.29	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $25.70 / $91.20	Professional		$18.20	$25.70	$91.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $28.18 / $58.88	Professional		$16.98	$28.18	$58.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $43.65	Facility		$32.36	$32.36	$43.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $38.90 / $38.90	Professional		$26.30	$38.90	$38.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Facility		$29.51	$29.51	$29.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $28.18	Professional		$18.20	$18.20	$28.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $36.31 / $75.86	Facility		$22.39	$36.31	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $23.44 / $39.81	Professional		$16.60	$23.44	$39.81
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $57.54 / $67.61	Professional		$32.36	$57.54	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $25.12 / $28.18	Facility		$18.20	$25.12	$28.18
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $17.78 / $46.77	Professional		$11.75	$17.78	$46.77