Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $47.86 / $194.98	Facility		$32.36	$47.86	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.05 / $32.36	Professional		$15.85	$19.05	$32.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $12.88 / $20.89	Professional		$10.47	$12.88	$20.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $32.36	Facility		$23.99	$23.99	$32.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $34.67 / $34.67	Professional		$23.44	$34.67	$34.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $20.89	Professional		$13.49	$13.49	$20.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $26.92 / $54.95	Facility		$16.60	$26.92	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $17.38 / $30.20	Professional		$12.30	$17.38	$30.20
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Professional		$23.99	$23.99	$23.99
United Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $18.62 / $20.89	Facility		$14.79	$18.62	$20.89
United Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $14.79 / $34.67	Professional		$8.71	$14.79	$34.67