Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.80 / $61.06 / $128.44	Facility		$24.80	$61.06	$128.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.83 / $40.60 / $62.09	Professional		$29.83	$40.60	$62.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $39.65 / $54.00	Professional		$35.09	$39.65	$54.00
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 / $40.39 / $89.31	Facility		$26.46	$40.39	$89.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.72 / $32.11 / $52.61	Professional		$19.72	$32.11	$52.61
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $45.60 / $45.60 / $62.10	Professional		$45.60	$45.60	$62.10
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 / $23.88 / $55.13	Professional		$14.74	$23.88	$55.13