Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $58.88 / $213.80	Facility		$40.74	$58.88	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.20 / $54.95	Professional		$22.91	$30.20	$54.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $18.62 / $35.48	Professional		$14.79	$18.62	$35.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $54.95	Facility		$39.81	$39.81	$54.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $43.65	Professional		$29.51	$29.51	$43.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $35.48 / $48.98	Facility		$28.18	$35.48	$48.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $35.48	Professional		$22.91	$22.91	$35.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $46.77 / $93.33	Facility		$27.54	$46.77	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $38.90 / $58.88	Professional		$20.89	$38.90	$58.88
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $40.74	Professional		$34.67	$34.67	$40.74
United Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $35.48	Facility		$31.62	$31.62	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $23.99 / $54.95	Professional		$14.79	$23.99	$54.95