Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.07 / $30.07 / $45.11	Facility		$30.07	$30.07	$45.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.86 / $26.16 / $48.11	Professional		$19.86	$26.16	$48.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $36.72 / $39.03	Professional		$25.00	$36.72	$39.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,557.89 / $1,557.89 / $1,557.89	Facility		$1,557.89	$1,557.89	$1,557.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.66 / $27.07 / $28.67	Professional		$21.66	$27.07	$28.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.82 / $29.82 / $32.02	Facility		$29.82	$29.82	$32.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.39 / $25.51 / $30.03	Professional		$23.39	$25.51	$30.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.78 / $34.18 / $46.43	Professional		$21.78	$34.18	$46.43
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $32.53 / $37.85 / $44.88	Professional		$32.53	$37.85	$44.88
United Facility/Professional Professional Modifier Low / Median / High Price $21.54 / $28.91 / $48.23	Professional		$21.54	$28.91	$48.23