Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.97 / $99.97 / $99.97	Facility		$99.97	$99.97	$99.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.31 / $76.36 / $107.24	Professional		$67.31	$76.36	$107.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.39 / $100.85 / $112.70	Professional		$60.39	$100.85	$112.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.75 / $98.94 / $109.93	Professional		$74.75	$98.94	$109.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $65.55 / $89.72 / $99.57	Facility		$65.55	$89.72	$99.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.23 / $81.54 / $153.90	Professional		$64.23	$81.54	$153.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.00 / $450.00 / $1,863.00	Facility		$305.00	$450.00	$1,863.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.63 / $95.48 / $141.83	Professional		$68.63	$95.48	$141.83
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $80.50 / $115.98 / $129.61	Professional		$80.50	$115.98	$129.61
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $420.00 / $900.00	Facility		$300.00	$420.00	$900.00
United Facility/Professional Professional Modifier Low / Median / High Price $63.81 / $81.75 / $128.38	Professional		$63.81	$81.75	$128.38