Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.29 / $90.58 / $114.89	Facility		$85.29	$90.58	$114.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.88 / $76.97 / $117.75	Professional		$39.88	$76.97	$117.75
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $68.83 / $88.08 / $318.43	Professional	25	$68.83	$88.08	$318.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.84 / $96.70 / $103.40	Professional		$84.84	$96.70	$103.40
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $67.34 / $79.22 / $102.93	Professional	25	$67.34	$79.22	$102.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.28 / $99.95 / $109.24	Professional		$74.28	$99.95	$109.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.63 / $95.20 / $116.50	Facility		$69.63	$95.20	$116.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.12 / $98.46 / $178.10	Professional		$74.12	$98.46	$178.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.95 / $99.17 / $123.74	Professional		$66.95	$99.17	$123.74
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $63.25 / $109.09 / $111.21	Professional		$63.25	$109.09	$111.21
Qualchoice Facility/Professional Professional Modifier 25 Low / Median / High Price $77.44 / $91.10 / $100.61	Professional	25	$77.44	$91.10	$100.61
United Facility/Professional Professional Modifier Low / Median / High Price $73.93 / $93.44 / $118.12	Professional		$73.93	$93.44	$118.12
United Facility/Professional Professional Modifier 25 Low / Median / High Price $99.10 / $99.10 / $99.10	Professional	25	$99.10	$99.10	$99.10