Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.11 / $160.00 / $500.00	Facility		$51.11	$160.00	$500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.44 / $51.12 / $336.00	Professional		$36.44	$51.12	$336.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.89 / $75.84 / $75.84	Professional		$56.89	$75.84	$75.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $250.00 / $250.00	Facility		$250.00	$250.00	$250.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.60 / $73.58 / $73.58	Professional		$55.60	$73.58	$73.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.15 / $68.95 / $85.04	Facility		$50.15	$68.95	$85.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $49.25 / $63.28 / $116.73	Professional		$49.25	$63.28	$116.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.01 / $48.80 / $52.03	Professional		$29.01	$48.80	$52.03
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $74.14 / $87.23 / $87.23	Professional		$74.14	$87.23	$87.23
United Facility/Professional Professional Modifier Low / Median / High Price $31.55 / $57.02 / $103.73	Professional		$31.55	$57.02	$103.73