Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.03 / $72.56 / $97.41	Professional		$44.03	$72.56	$97.41
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $21.93 / $108.15 / $135.00	Professional	25	$21.93	$108.15	$135.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.66 / $113.32 / $126.61	Professional		$68.66	$113.32	$126.61
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $113.32 / $113.32 / $131.72	Professional	25	$113.32	$113.32	$131.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.99 / $82.44 / $121.24	Professional		$48.99	$82.44	$121.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.90 / $41.90 / $52.63	Facility		$41.90	$41.90	$52.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.73 / $74.73 / $76.79	Professional		$74.73	$74.73	$76.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.72 / $71.23 / $102.21	Professional		$46.72	$71.23	$102.21
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $137.09 / $137.09 / $144.15	Professional		$137.09	$137.09	$144.15
Qualchoice Facility/Professional Professional Modifier 25 Low / Median / High Price $130.32 / $130.32 / $151.47	Professional	25	$130.32	$130.32	$151.47
United Facility/Professional Professional Modifier Low / Median / High Price $55.59 / $76.98 / $108.55	Professional		$55.59	$76.98	$108.55