Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $72.44 / $549.54	Facility		$53.70	$72.44	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $36.31 / $53.70	Professional		$26.92	$36.31	$53.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Professional		$52.48	$52.48	$52.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $64.57	Facility		$47.86	$47.86	$64.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $46.77	Professional		$30.90	$30.90	$46.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $58.88	Facility		$33.11	$33.11	$58.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $41.69	Professional		$26.92	$26.92	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $46.77 / $93.33	Facility		$32.36	$46.77	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $43.65 / $67.61	Professional		$20.89	$43.65	$67.61
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $41.69	Facility		$37.15	$37.15	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $25.12 / $58.88	Professional		$17.38	$25.12	$58.88