Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.22 / $67.20 / $151.21	Facility		$39.22	$67.20	$151.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.52 / $44.75 / $87.36	Professional		$24.52	$44.75	$87.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $39.65 / $59.70	Professional		$17.55	$39.65	$59.70
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 $40.35 / $56.05 / $68.66	Professional		$40.35	$56.05	$68.66
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $23.88 / $55.13	Professional		$14.74	$23.88	$55.13