Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.90 / $42.23 / $80.84	Facility		$40.90	$42.23	$80.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.35 / $53.31 / $99.45	Professional		$33.35	$53.31	$99.45
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $65.20 / $72.25 / $99.45	Professional	25	$65.20	$72.25	$99.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.35 / $50.60 / $61.74	Professional		$46.35	$50.60	$61.74
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $51.56 / $53.72 / $58.64	Professional	25	$51.56	$53.72	$58.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.50 / $52.20 / $52.20	Professional		$35.50	$52.20	$52.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.93 / $63.69 / $69.59	Facility		$44.93	$63.69	$69.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $44.93 / $56.16 / $107.55	Professional		$44.93	$56.16	$107.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.54 / $46.50 / $82.69	Professional		$37.54	$46.50	$82.69
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $53.30 / $59.29 / $79.56	Professional		$53.30	$59.29	$79.56
Qualchoice Facility/Professional Professional Modifier 25 Low / Median / High Price $67.44 / $67.44 / $67.44	Professional	25	$67.44	$67.44	$67.44
United Facility/Professional Professional Modifier Low / Median / High Price $33.67 / $40.06 / $54.59	Professional		$33.67	$40.06	$54.59