Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.78 / $78.79 / $102.51	Professional		$47.78	$78.79	$102.51
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $78.79 / $96.95 / $117.12	Professional	25	$78.79	$96.95	$117.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.88 / $104.32 / $129.85	Professional		$98.88	$104.32	$129.85
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $104.32 / $104.32 / $131.94	Professional	25	$104.32	$104.32	$131.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.37 / $86.50 / $127.21	Professional		$53.37	$86.50	$127.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.04 / $46.04 / $57.98	Facility		$46.04	$46.04	$57.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $78.59 / $78.59 / $80.63	Professional		$78.59	$78.59	$80.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.87 / $77.31 / $107.42	Professional		$46.87	$77.31	$107.42
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $81.26 / $135.96 / $151.74	Professional		$81.26	$135.96	$151.74
Qualchoice Facility/Professional Professional Modifier 25 Low / Median / High Price $119.67 / $119.97 / $142.19	Professional	25	$119.67	$119.97	$142.19
United Facility/Professional Professional Modifier Low / Median / High Price $47.62 / $78.87 / $115.91	Professional		$47.62	$78.87	$115.91