Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $64.57 / $114.82	Professional		$51.29	$64.57	$114.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $66.07 / $104.71	Professional		$53.70	$66.07	$104.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $89.13	Facility		$64.57	$64.57	$89.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $72.44 / $95.50	Professional		$64.57	$72.44	$95.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $63.10 / $109.65	Facility		$46.77	$63.10	$109.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $83.18 / $117.49	Professional		$56.23	$83.18	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $75.86 / $169.82	Professional		$34.67	$75.86	$169.82
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $107.15 / $138.04	Professional		$91.20	$107.15	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $69.18 / $125.89	Professional		$48.98	$69.18	$125.89