Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.48 / $89.70 / $159.69	Professional		$58.48	$89.70	$159.69
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $27.99 / $42.72 / $65.48	Professional	52	$27.99	$42.72	$65.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $73.30 / $100.48 / $118.21	Professional		$73.30	$100.48	$118.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.77 / $87.22 / $92.35	Professional		$69.77	$87.22	$92.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $73.30 / $79.97 / $91.88	Professional		$73.30	$79.97	$91.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.55 / $117.14 / $170.19	Professional		$66.55	$117.14	$170.19
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $99.16 / $126.94 / $165.28	Professional		$99.16	$126.94	$165.28
United Facility/Professional Professional Modifier Low / Median / High Price $61.35 / $91.11 / $161.05	Professional		$61.35	$91.11	$161.05