Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $53.20 / $198.00	Facility		$51.31	$53.20	$198.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $51.31 / $80.00	Professional		$51.31	$51.31	$80.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.66 / $51.31 / $63.79	Professional		$25.66	$51.31	$63.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $51.31 / $51.31	Facility		$51.31	$51.31	$51.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.00 / $77.00 / $77.00	Professional		$77.00	$77.00	$77.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $51.31 / $61.57	Facility		$51.31	$51.31	$61.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.35 / $33.35 / $51.31	Professional		$33.35	$33.35	$51.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.35 / $38.69 / $67.03	Facility		$33.35	$38.69	$67.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.41 / $50.13 / $79.42	Professional		$25.41	$50.13	$79.42
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $73.36 / $73.36 / $73.36	Professional		$73.36	$73.36	$73.36
United Facility/Professional Facility Modifier Low / Median / High Price $46.18 / $46.18 / $46.18	Facility		$46.18	$46.18	$46.18
United Facility/Professional Professional Modifier Low / Median / High Price $30.79 / $50.43 / $51.33	Professional		$30.79	$50.43	$51.33