Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.62 / $98.75 / $390.90	Facility		$66.62	$98.75	$390.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.26 / $50.98 / $78.36	Professional		$35.26	$50.98	$78.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.84 / $42.84 / $42.84	Professional		$42.84	$42.84	$42.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.84 / $48.84 / $48.84	Facility		$48.84	$48.84	$48.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.70 / $47.60 / $53.55	Professional		$35.70	$47.60	$53.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.84 / $42.84 / $51.41	Facility		$42.84	$42.84	$51.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $27.85 / $42.84	Professional		$27.85	$27.85	$42.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.31 / $52.89 / $108.74	Facility		$32.31	$52.89	$108.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $50.24 / $80.72	Professional		$25.46	$50.24	$80.72
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $49.27 / $49.27 / $49.27	Professional		$49.27	$49.27	$49.27
United Facility/Professional Facility Modifier Low / Median / High Price $42.84 / $42.84 / $42.84	Facility		$42.84	$42.84	$42.84
United Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $35.33 / $78.40	Professional		$17.98	$35.33	$78.40