Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $234.42 / $676.08	Facility		$45.71	$234.42	$676.08
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $120.23 / $309.03 / $660.69	Facility	25	$120.23	$309.03	$660.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $47.86 / $75.86	Professional		$28.84	$47.86	$75.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $51.29 / $83.18	Professional		$38.90	$51.29	$83.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $38.90 / $51.29	Professional		$34.67	$38.90	$51.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $54.95 / $117.49	Facility		$39.81	$54.95	$117.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $41.69 / $97.72	Professional		$38.02	$41.69	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $46.77 / $70.79	Professional		$34.67	$46.77	$70.79
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $58.88 / $95.50	Professional		$44.67	$58.88	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $42.66 / $57.54	Professional		$32.36	$42.66	$57.54