Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $50.12	Facility		$41.69	$41.69	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $30.90 / $57.54	Professional		$18.20	$30.90	$57.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $25.70 / $39.81	Professional		$18.62	$25.70	$39.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $97.72	Facility		$72.44	$72.44	$97.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $28.84 / $38.02	Professional		$25.70	$28.84	$38.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $23.99 / $40.74	Facility		$17.78	$23.99	$40.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $32.36 / $44.67	Professional		$21.88	$32.36	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $36.31 / $64.57	Professional		$19.05	$36.31	$64.57
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $41.69 / $52.48	Professional		$35.48	$41.69	$52.48
United Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $38.90 / $52.48	Professional		$23.44	$38.90	$52.48