Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.07 / $33.07 / $57.12	Facility		$33.07	$33.07	$57.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.82 / $28.77 / $55.95	Professional		$21.82	$28.77	$55.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.23 / $36.32 / $52.05	Professional		$31.23	$36.32	$52.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,221.34 / $1,221.34 / $1,221.34	Facility		$1,221.34	$1,221.34	$1,221.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.79 / $29.74 / $31.49	Professional		$23.79	$29.74	$31.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.89 / $32.89 / $35.29	Facility		$32.89	$32.89	$35.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.82 / $28.16 / $33.11	Professional		$25.82	$28.16	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.04 / $37.60 / $51.06	Professional		$24.04	$37.60	$51.06
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $35.90 / $45.97 / $59.86	Professional		$35.90	$45.97	$59.86
United Facility/Professional Professional Modifier Low / Median / High Price $23.30 / $33.18 / $55.77	Professional		$23.30	$33.18	$55.77