Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $87.10 / $154.88	Facility		$69.18	$87.10	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $46.77 / $162.18	Professional		$33.88	$46.77	$162.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $30.20 / $104.71	Professional		$25.70	$30.20	$104.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $79.43	Facility		$57.54	$57.54	$79.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $70.79 / $70.79	Professional		$47.86	$70.79	$70.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $51.29	Professional		$33.11	$33.11	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $66.07 / $134.90	Facility		$40.74	$66.07	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $42.66 / $72.44	Professional		$30.20	$42.66	$72.44
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
United Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $45.71 / $51.29	Facility		$33.11	$45.71	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $30.20 / $83.18	Professional		$20.42	$30.20	$83.18