Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.54 / $53.55 / $66.64	Facility		$53.54	$53.55	$66.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.05 / $64.12 / $87.61	Professional		$50.05	$64.12	$87.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $87.05 / $102.41	Professional		$75.00	$87.05	$102.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.31 / $138.31 / $138.31	Facility		$138.31	$138.31	$138.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.97 / $84.66 / $96.07	Professional		$63.97	$84.66	$96.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.74 / $55.46 / $104.86	Facility		$50.74	$55.46	$104.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $61.52 / $88.16 / $126.49	Professional		$61.52	$88.16	$126.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $61.79 / $116.82	Professional		$40.00	$61.79	$116.82
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $86.25 / $100.11 / $118.63	Professional		$86.25	$100.11	$118.63
United Facility/Professional Professional Modifier Low / Median / High Price $53.84 / $71.79 / $114.59	Professional		$53.84	$71.79	$114.59