Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $36.31 / $169.82	Facility		$25.70	$36.31	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $18.20 / $52.48	Professional		$12.88	$18.20	$52.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $16.98 / $35.48	Professional		$10.00	$16.98	$35.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $26.30	Facility		$19.05	$19.05	$26.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $28.18 / $28.18	Professional		$19.05	$28.18	$28.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Facility		$17.78	$17.78	$17.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $16.98	Professional		$10.96	$10.96	$16.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $22.39 / $44.67	Facility		$13.49	$22.39	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.13 / $23.99	Professional		$10.00	$14.13	$23.99
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $40.74	Professional		$19.50	$19.50	$40.74
United Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $15.14 / $16.98	Facility		$10.96	$15.14	$16.98
United Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $10.00 / $27.54	Professional		$6.76	$10.00	$27.54