Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $63.10 / $75.86	Facility		$54.95	$63.10	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $47.86 / $107.15	Professional		$36.31	$47.86	$107.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $74.13 / $100.00	Professional		$35.48	$74.13	$100.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $128.82	Facility		$95.50	$95.50	$128.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $61.66 / $81.28	Professional		$51.29	$61.66	$81.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $56.23 / $134.90	Facility		$52.48	$56.23	$134.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $162.18	Facility		$123.03	$123.03	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $69.18 / $100.00	Professional		$44.67	$69.18	$100.00
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $85.11 / $128.82	Professional		$69.18	$85.11	$128.82
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $281.84 / $776.25	Facility		$128.82	$281.84	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $56.23 / $89.13	Professional		$43.65	$56.23	$89.13