Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $128.82 / $218.78	Facility		$109.65	$128.82	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $83.18 / $275.42	Professional		$48.98	$83.18	$275.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $41.69 / $117.49	Professional		$35.48	$41.69	$117.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $109.65	Facility		$79.43	$79.43	$109.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $87.10	Professional		$58.88	$58.88	$87.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $70.79 / $97.72	Facility		$56.23	$70.79	$97.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $70.79	Professional		$45.71	$45.71	$70.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $91.20 / $186.21	Facility		$56.23	$91.20	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $69.18 / $117.49	Professional		$41.69	$69.18	$117.49
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $95.50 / $169.82	Professional		$81.28	$95.50	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $70.79	Facility		$63.10	$63.10	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $47.86 / $75.86	Professional		$29.51	$47.86	$75.86