Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.53 / $85.64 / $187.20	Facility		$53.53	$85.64	$187.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.64 / $41.97 / $64.20	Professional		$28.64	$41.97	$64.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $35.09 / $59.70	Professional		$17.55	$35.09	$59.70
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 $40.35 / $62.10 / $68.66	Professional		$40.35	$62.10	$68.66
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $23.88 / $66.13	Professional		$14.74	$23.88	$66.13