Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.59 / $68.88 / $19,431.07	Facility		$65.59	$68.88	$19,431.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $57.23 / $66.68	Professional		$55.57	$57.23	$66.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.67 / $54.67 / $54.67	Professional		$54.67	$54.67	$54.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.31 / $59.31 / $59.31	Facility		$59.31	$59.31	$59.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.99 / $59.31 / $59.31	Professional		$54.99	$59.31	$59.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.67 / $72.23 / $82.01	Facility		$54.67	$72.23	$82.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.67 / $55.57 / $128.83	Professional		$54.67	$55.57	$128.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.40 / $52.42 / $55.57	Facility		$45.40	$52.42	$55.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $55.57 / $60.28	Professional		$55.57	$55.57	$60.28
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $63.91 / $63.91 / $63.91	Professional		$63.91	$63.91	$63.91
United Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $55.57 / $66.91	Professional		$55.57	$55.57	$66.91