Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.57 / $39.27 / $76.38	Facility		$30.57	$39.27	$76.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.72 / $35.99 / $53.57	Professional		$21.72	$35.99	$53.57
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $85.57 / $85.57 / $85.57	Professional	25	$85.57	$85.57	$85.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.80 / $59.82 / $60.15	Professional		$48.80	$59.82	$60.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.17 / $28.17 / $28.17	Facility		$28.17	$28.17	$28.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $58.67 / $73.04	Professional		$39.90	$58.67	$73.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.86 / $32.40 / $61.71	Facility		$29.86	$32.40	$61.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.35 / $57.82 / $82.96	Professional		$40.35	$57.82	$82.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.27 / $44.27 / $68.70	Professional		$33.27	$44.27	$68.70
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $56.12 / $68.79 / $69.17	Professional		$56.12	$68.79	$69.17
United Facility/Professional Professional Modifier Low / Median / High Price $39.82 / $55.20 / $74.06	Professional		$39.82	$55.20	$74.06