Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.60 / $54.60 / $76.48	Facility		$54.60	$54.60	$76.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.52 / $44.66 / $55.68	Professional		$24.52	$44.66	$55.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.28 / $20.28 / $40.54	Professional		$20.28	$20.28	$40.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.23 / $46.23 / $46.23	Facility		$46.23	$46.23	$46.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.41 / $40.54 / $45.62	Professional		$30.41	$40.54	$45.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.54 / $40.54 / $48.66	Facility		$40.54	$40.54	$48.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.36 / $26.36 / $40.54	Professional		$26.36	$26.36	$40.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.58 / $40.39 / $89.31	Facility		$30.58	$40.39	$89.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.72 / $35.76 / $60.70	Professional		$19.72	$35.76	$60.70
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $46.63 / $46.63 / $46.63	Professional		$46.63	$46.63	$46.63
United Facility/Professional Professional Modifier Low / Median / High Price $17.03 / $24.33 / $55.13	Professional		$17.03	$24.33	$55.13