Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.70 / $132.38 / $318.75	Facility		$62.70	$132.38	$318.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.20 / $101.79 / $148.38	Professional		$79.20	$101.79	$148.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.75 / $144.75 / $144.75	Professional		$144.75	$144.75	$144.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.21 / $109.21 / $109.21	Facility		$109.21	$109.21	$109.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.43 / $119.75 / $119.75	Professional		$81.43	$119.75	$119.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.80 / $95.80 / $114.96	Facility		$95.80	$95.80	$114.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $62.27 / $62.27 / $95.80	Professional		$62.27	$62.27	$95.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.23 / $101.84 / $215.94	Facility		$72.23	$101.84	$215.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.62 / $96.13 / $147.05	Professional		$50.62	$96.13	$147.05
United Facility/Professional Facility Modifier Low / Median / High Price $86.22 / $86.22 / $86.22	Facility		$86.22	$86.22	$86.22
United Facility/Professional Professional Modifier Low / Median / High Price $40.24 / $57.90 / $127.50	Professional		$40.24	$57.90	$127.50