Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.09 / $109.19 / $211.19	Facility		$71.09	$109.19	$211.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $83.54 / $124.80	Professional		$52.00	$83.54	$124.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.25 / $108.25 / $108.25	Professional		$108.25	$108.25	$108.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.03 / $80.03 / $80.03	Facility		$80.03	$80.03	$80.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.19 / $93.59 / $105.29	Professional		$70.19	$93.59	$105.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.20 / $70.20 / $84.24	Facility		$70.20	$70.20	$84.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.63 / $45.63 / $70.20	Professional		$45.63	$45.63	$70.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.63 / $90.55 / $145.94	Facility		$45.63	$90.55	$145.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.46 / $68.97 / $119.86	Professional		$35.46	$68.97	$119.86
United Facility/Professional Facility Modifier Low / Median / High Price $70.19 / $70.19 / $70.19	Facility		$70.19	$70.19	$70.19
United Facility/Professional Professional Modifier Low / Median / High Price $29.48 / $43.33 / $75.00	Professional		$29.48	$43.33	$75.00