Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $67.61 / $204.17	Facility		$38.90	$67.61	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $38.90 / $131.83	Professional		$16.98	$38.90	$131.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $25.70 / $52.48	Professional		$12.59	$25.70	$52.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $39.81	Facility		$28.84	$28.84	$39.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $42.66 / $42.66	Professional		$28.84	$42.66	$42.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Facility		$26.92	$26.92	$26.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $25.70	Professional		$16.60	$16.60	$25.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $33.88 / $67.61	Facility		$19.95	$33.88	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $21.38 / $36.31	Professional		$15.14	$21.38	$36.31
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $29.51 / $60.26	Professional		$25.12	$29.51	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $22.91 / $25.70	Facility		$16.60	$22.91	$25.70
United Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $15.14 / $41.69	Professional		$10.23	$15.14	$41.69