Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $38.02 / $81.28	Professional		$28.84	$38.02	$81.28
Aetna Facility/Professional Professional Modifier 22 Low / Median / High Price $35.48 / $35.48 / $56.23	Professional	22	$35.48	$35.48	$56.23
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $42.66 / $89.13 / $91.20	Professional	52	$42.66	$89.13	$91.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $44.67 / $57.54	Professional		$33.11	$44.67	$57.54
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $9.77 / $9.77 / $9.77	Professional	52	$9.77	$9.77	$9.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $41.69 / $56.23	Professional		$36.31	$41.69	$56.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Professional		$33.11	$33.11	$33.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $38.02 / $52.48	Facility		$35.48	$38.02	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $50.12 / $72.44	Professional		$29.51	$50.12	$72.44
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $54.95 / $67.61	Professional		$43.65	$54.95	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $35.48 / $60.26	Professional		$25.12	$35.48	$60.26