Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $60.26 / $165.96	Facility		$33.88	$60.26	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.95 / $70.79	Professional		$16.98	$19.95	$70.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $21.88	Professional		$18.62	$18.62	$21.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $34.67	Facility		$25.12	$25.12	$34.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $36.31 / $36.31	Professional		$25.12	$36.31	$36.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Facility		$22.91	$22.91	$22.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $21.88	Professional		$14.45	$14.45	$21.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $29.51 / $58.88	Facility		$17.38	$29.51	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $18.62 / $31.62	Professional		$13.18	$18.62	$31.62
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $25.12	Professional		$21.38	$21.38	$25.12
United Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $26.30	Facility		$19.95	$19.95	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $17.78 / $36.31	Professional		$9.33	$17.78	$36.31