Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.87 / $64.20 / $151.88	Facility		$47.87	$64.20	$151.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.52 / $41.76 / $64.20	Professional		$24.52	$41.76	$64.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $17.55 / $39.65	Professional		$17.55	$17.55	$39.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Facility		$40.00	$40.00	$40.00
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 / $39.03 / $66.13	Professional		$20.90	$39.03	$66.13
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $45.60 / $45.60 / $45.60	Professional		$45.60	$45.60	$45.60
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 / $28.66 / $68.59	Professional		$14.74	$28.66	$68.59