Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.55 / $109.19 / $183.39	Facility		$54.55	$109.19	$183.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.09 / $83.95 / $128.41	Professional		$49.09	$83.95	$128.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $79.33 / $108.00	Professional		$70.20	$79.33	$108.00
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 $58.49 / $77.98 / $87.74	Professional		$58.49	$77.98	$87.74
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 $52.93 / $86.68 / $178.51	Facility		$52.93	$86.68	$178.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.79 / $68.09 / $109.51	Professional		$41.79	$68.09	$109.51
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $80.73 / $91.23 / $168.07	Professional		$80.73	$91.23	$168.07
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 / $49.04 / $75.00	Professional		$29.48	$49.04	$75.00