Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $47.86 / $218.78	Facility		$28.18	$47.86	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $25.70 / $93.33	Professional		$14.13	$25.70	$93.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $15.49 / $38.02	Professional		$9.55	$15.49	$38.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $28.18	Facility		$20.89	$20.89	$28.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $30.20 / $30.20	Professional		$20.42	$30.20	$30.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $18.20	Professional		$11.75	$11.75	$18.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $23.99 / $47.86	Facility		$14.45	$23.99	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $15.14 / $25.70	Professional		$10.72	$15.14	$25.70
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $20.89 / $43.65	Professional		$17.78	$20.89	$43.65
United Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $16.22 / $18.20	Facility		$11.75	$16.22	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $10.96 / $30.20	Professional		$7.24	$10.96	$30.20