Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.16 / $56.70 / $504.11	Facility		$19.16	$56.70	$504.11
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $7.28 / $23.03 / $105.12	Facility	52	$7.28	$23.03	$105.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $31.53 / $62.15	Professional		$12.00	$31.53	$62.15
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $6.22 / $12.53 / $23.03	Professional	52	$6.22	$12.53	$23.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.18 / $47.10 / $62.12	Professional		$14.18	$47.10	$62.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.53 / $16.96 / $48.33	Professional		$11.53	$16.96	$48.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.08 / $12.91 / $15.27	Facility		$11.08	$12.91	$15.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $31.19 / $36.11 / $73.66	Professional		$31.19	$36.11	$73.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.84 / $36.57 / $68.08	Professional		$14.84	$36.57	$68.08
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $48.42 / $71.44	Professional		$16.30	$48.42	$71.44
United Facility/Professional Professional Modifier Low / Median / High Price $34.21 / $48.06 / $74.75	Professional		$34.21	$48.06	$74.75