Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $81.28 / $151.36	Facility		$54.95	$81.28	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $43.65 / $144.54	Professional		$5.01	$43.65	$144.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $32.36	Professional		$23.44	$23.44	$32.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $74.13	Facility		$53.70	$53.70	$74.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $64.57 / $64.57	Professional		$44.67	$64.57	$64.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $46.77	Professional		$30.20	$30.20	$46.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $63.10 / $125.89	Facility		$37.15	$63.10	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $39.81 / $67.61	Professional		$28.18	$39.81	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $42.66 / $46.77	Facility		$31.62	$42.66	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $31.62 / $66.07	Professional		$19.95	$31.62	$66.07