Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $45.71 / $169.82	Facility		$27.54	$45.71	$169.82
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	25	$100.00	$100.00	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $47.86 / $95.50	Professional		$28.18	$47.86	$95.50
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $33.11 / $53.70 / $112.20	Professional	25	$33.11	$53.70	$112.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $52.48 / $72.44	Professional		$30.90	$52.48	$72.44
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $39.81 / $53.70 / $67.61	Professional	25	$39.81	$53.70	$67.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $60.26	Facility		$44.67	$44.67	$60.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $37.15 / $58.88	Professional		$25.12	$37.15	$58.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $43.65 / $61.66	Facility		$33.11	$43.65	$61.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $61.66 / $123.03	Professional		$52.48	$61.66	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $109.65 / $134.90	Facility		$40.74	$109.65	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $43.65 / $72.44	Professional		$26.92	$43.65	$72.44
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $63.10 / $79.43	Professional		$38.02	$63.10	$79.43
Qualchoice Facility/Professional Professional Modifier 25 Low / Median / High Price $53.70 / $64.57 / $79.43	Professional	25	$53.70	$64.57	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $38.02 / $57.54	Professional		$23.99	$38.02	$57.54