Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $56.23 / $134.90	Facility		$33.11	$56.23	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $28.18 / $67.61	Professional		$14.13	$28.18	$67.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $18.20 / $34.67	Professional		$12.88	$18.20	$34.67
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 $20.89 / $24.55 / $39.81	Professional		$20.89	$24.55	$39.81
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 $8.91 / $13.80 / $34.67	Professional		$8.91	$13.80	$34.67