Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.00 / $54.60 / $156.60	Facility		$33.00	$54.60	$156.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.52 / $44.80 / $54.60	Professional		$24.52	$44.80	$54.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $17.55 / $35.09	Professional		$17.55	$17.55	$35.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.24 / $38.99 / $43.87	Professional		$29.24	$38.99	$43.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $35.09 / $42.11	Facility		$35.09	$35.09	$42.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $22.81 / $35.09	Professional		$22.81	$22.81	$35.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.46 / $43.34 / $89.25	Facility		$26.46	$43.34	$89.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.90 / $41.02 / $66.13	Professional		$20.90	$41.02	$66.13
United Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $35.09 / $35.09	Facility		$35.09	$35.09	$35.09
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $24.52 / $58.85	Professional		$14.74	$24.52	$58.85