Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.34 / $34.04 / $35.44	Facility		$26.34	$34.04	$35.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.80 / $33.18 / $61.11	Professional		$22.80	$33.18	$61.11
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $9.77 / $13.99 / $20.13	Professional	52	$9.77	$13.99	$20.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.59 / $48.51 / $58.25	Professional		$39.59	$48.51	$58.25
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $44.40 / $44.40 / $61.06	Professional	25	$44.40	$44.40	$61.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.17 / $78.17 / $78.17	Facility		$78.17	$78.17	$78.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.23 / $36.34 / $50.37	Professional		$24.23	$36.34	$50.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.84 / $33.47 / $42.27	Facility		$24.84	$33.47	$42.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $43.98 / $82.42	Professional		$33.92	$43.98	$82.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.71 / $86.71 / $86.71	Facility		$86.71	$86.71	$86.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.28 / $34.82 / $34.82	Professional		$17.28	$34.82	$34.82
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $45.53 / $60.08 / $66.98	Professional		$45.53	$60.08	$66.98
Qualchoice Facility/Professional Professional Modifier 25 Low / Median / High Price $51.06 / $51.06 / $51.06	Professional	25	$51.06	$51.06	$51.06
United Facility/Professional Professional Modifier Low / Median / High Price $32.61 / $43.06 / $70.51	Professional		$32.61	$43.06	$70.51