Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $50.12	Facility		$33.11	$33.11	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $33.11 / $70.79	Professional		$22.91	$33.11	$70.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $30.20 / $52.48	Professional		$22.39	$30.20	$52.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,659.59	Facility		$1,230.27	$1,230.27	$1,659.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $31.62	Professional		$23.99	$23.99	$31.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $35.48	Facility		$33.11	$33.11	$35.48
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 Professional Modifier Low / Median / High Price $23.99 / $38.02 / $58.88	Professional		$23.99	$38.02	$58.88
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $41.69 / $60.26	Professional		$31.62	$41.69	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $31.62 / $52.48	Professional		$23.44	$31.62	$52.48