Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $43.65 / $95.50	Facility		$33.88	$43.65	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $43.65 / $63.10	Professional		$28.84	$43.65	$63.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $60.26 / $70.79	Professional		$47.86	$60.26	$70.79
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $41.69 / $58.88 / $75.86	Professional	25	$41.69	$58.88	$75.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $123.03	Facility		$91.20	$91.20	$123.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $53.70 / $66.07	Professional		$44.67	$53.70	$66.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $36.31 / $37.15	Facility		$34.67	$36.31	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $46.77 / $72.44	Professional		$35.48	$46.77	$72.44
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $63.10 / $89.13	Professional		$46.77	$63.10	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $158.49 / $302.00	Facility		$123.03	$158.49	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $40.74 / $57.54	Professional		$29.51	$40.74	$57.54