Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $46.77 / $245.47	Facility		$33.11	$46.77	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.05 / $67.61	Professional		$15.85	$19.05	$67.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $21.38	Professional		$12.88	$12.88	$21.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $33.11	Facility		$23.99	$23.99	$33.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $35.48 / $35.48	Professional		$23.99	$35.48	$35.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Facility		$22.39	$22.39	$22.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $21.38	Professional		$13.80	$13.80	$21.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $28.18 / $56.23	Facility		$16.98	$28.18	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $17.78 / $30.20	Professional		$12.59	$17.78	$30.20
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Professional		$24.55	$24.55	$24.55
United Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $19.05 / $21.38	Facility		$13.80	$19.05	$21.38
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $12.88 / $35.48	Professional		$8.51	$12.88	$35.48