Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.70 / $74.81 / $164.33	Facility		$22.70	$74.81	$164.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.36 / $49.54 / $74.81	Professional		$17.36	$49.54	$74.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.56 / $54.56 / $54.56	Facility		$54.56	$54.56	$54.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $64.23 / $85.01	Professional		$19.48	$64.23	$85.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.51 / $22.30 / $27.24	Facility		$16.51	$22.30	$27.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $65.73 / $86.91 / $155.11	Professional		$65.73	$86.91	$155.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.44 / $53.59 / $102.74	Professional		$20.44	$53.59	$102.74
United Facility/Professional Professional Modifier Low / Median / High Price $57.21 / $75.70 / $128.71	Professional		$57.21	$75.70	$128.71