Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $93.33 / $338.84	Facility		$66.07	$93.33	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $37.15 / $112.20	Professional		$28.18	$37.15	$112.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Professional		$21.38	$21.38	$21.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $67.61	Facility		$48.98	$48.98	$67.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $53.70	Professional		$35.48	$35.48	$53.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $42.66 / $60.26	Facility		$33.88	$42.66	$60.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $42.66	Professional		$27.54	$27.54	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $54.95 / $114.82	Facility		$33.88	$54.95	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $51.29 / $83.18	Professional		$25.70	$51.29	$83.18
United Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $42.66	Facility		$38.90	$38.90	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $28.84 / $72.44	Professional		$17.78	$28.84	$72.44