Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $48.98	Facility		$31.62	$31.62	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $39.81 / $58.88	Professional		$19.95	$39.81	$58.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $45.71 / $63.10	Professional		$28.18	$45.71	$63.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $151.36	Facility		$109.65	$109.65	$151.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $32.36 / $56.23	Professional		$23.99	$32.36	$56.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $22.39 / $38.02	Facility		$16.22	$22.39	$38.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $45.71 / $63.10	Professional		$30.20	$45.71	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $47.86 / $66.07	Professional		$30.20	$47.86	$66.07
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $63.10 / $83.18	Professional		$48.98	$63.10	$83.18
United Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $44.67 / $74.13	Professional		$23.99	$44.67	$74.13