Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.66 / $31.66 / $31.66	Facility		$31.66	$31.66	$31.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $39.35 / $57.54	Professional		$20.26	$39.35	$57.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.70 / $58.42 / $73.12	Professional		$42.70	$58.42	$73.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $110.22 / $110.22 / $110.22	Facility		$110.22	$110.22	$110.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.18 / $42.41 / $56.13	Professional		$24.18	$42.41	$56.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.38 / $17.84 / $33.85	Facility		$16.38	$17.84	$33.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.47 / $43.67 / $62.65	Professional		$30.47	$43.67	$62.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $47.00 / $59.00	Professional		$29.00	$47.00	$59.00
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $49.11 / $58.19 / $84.09	Professional		$49.11	$58.19	$84.09
United Facility/Professional Professional Modifier Low / Median / High Price $39.84 / $50.40 / $85.53	Professional		$39.84	$50.40	$85.53