Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.39 / $65.67 / $83.84	Professional		$55.39	$65.67	$83.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.99 / $90.97 / $104.30	Professional		$87.99	$90.97	$104.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $72.00 / $72.00	Facility		$72.00	$72.00	$72.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.41 / $69.36 / $78.48	Professional		$52.41	$69.36	$78.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.74 / $47.80 / $90.40	Facility		$43.74	$47.80	$90.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.92 / $75.84 / $108.82	Professional		$52.92	$75.84	$108.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $74.17 / $127.58	Professional		$45.00	$74.17	$127.58
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $101.19 / $119.95 / $119.95	Professional		$101.19	$119.95	$119.95
United Facility/Professional Professional Modifier Low / Median / High Price $51.25 / $66.47 / $127.83	Professional		$51.25	$66.47	$127.83