Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.75 / $290.10 / $509.28	Facility		$19.75	$290.10	$509.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.90 / $21.49 / $77.19	Professional		$10.90	$21.49	$77.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.60 / $19.44 / $57.41	Professional		$14.60	$19.44	$57.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $48.68 / $64.43	Professional		$12.59	$48.68	$64.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.58 / $15.32 / $17.42	Facility		$12.58	$15.32	$17.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.58 / $50.01 / $100.62	Professional		$43.58	$50.01	$100.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.64 / $44.11 / $77.56	Professional		$12.64	$44.11	$77.56
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $16.79 / $21.09 / $88.03	Professional		$16.79	$21.09	$88.03
United Facility/Professional Professional Modifier Low / Median / High Price $44.13 / $54.96 / $83.99	Professional		$44.13	$54.96	$83.99