Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $64.57 / $91.20	Professional		$52.48	$64.57	$91.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $109.65	Professional		$50.12	$64.57	$109.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $97.72	Facility		$72.44	$72.44	$97.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $58.88 / $77.62	Professional		$52.48	$58.88	$77.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $58.88 / $100.00	Facility		$43.65	$58.88	$100.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $77.62 / $109.65	Professional		$52.48	$77.62	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $77.62 / $158.49	Professional		$45.71	$77.62	$158.49
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $125.89	Professional		$120.23	$120.23	$125.89
United Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $67.61 / $120.23	Professional		$51.29	$67.61	$120.23