Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.65 / $76.59 / $132.00	Facility		$48.65	$76.59	$132.00
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $68.09 / $152.00 / $179.74	Facility	25	$68.09	$152.00	$179.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $78.53 / $160.85	Professional		$49.28	$78.53	$160.85
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $51.88 / $90.29 / $233.13	Professional	25	$51.88	$90.29	$233.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.71 / $90.89 / $109.81	Professional		$63.71	$90.89	$109.81
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $69.41 / $93.82 / $98.66	Professional	25	$69.41	$93.82	$98.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.12 / $74.12 / $74.12	Facility		$74.12	$74.12	$74.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.31 / $69.75 / $95.77	Professional		$52.31	$69.75	$95.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.17 / $83.41 / $102.53	Facility		$61.17	$83.41	$102.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $109.04 / $194.76	Professional		$81.28	$109.04	$194.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $125.00 / $148.00	Facility		$95.00	$125.00	$148.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.43 / $70.43 / $105.91	Professional		$49.43	$70.43	$105.91
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $73.27 / $98.93 / $126.28	Professional		$73.27	$98.93	$126.28
Qualchoice Facility/Professional Professional Modifier 25 Low / Median / High Price $75.64 / $105.57 / $113.46	Professional	25	$75.64	$105.57	$113.46
United Facility/Professional Professional Modifier Low / Median / High Price $59.05 / $76.15 / $117.49	Professional		$59.05	$76.15	$117.49