Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.27 / $72.34 / $12,142.37	Facility		$70.27	$72.34	$12,142.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $62.72 / $133.22	Professional		$60.29	$62.72	$133.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.56 / $60.29 / $65.29	Professional		$58.56	$60.29	$65.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.54 / $63.54 / $63.54	Facility		$63.54	$63.54	$63.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.59 / $63.54 / $63.54	Professional		$61.59	$63.54	$63.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.56 / $78.38 / $87.84	Facility		$58.56	$78.38	$87.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.56 / $60.29 / $139.79	Professional		$58.56	$60.29	$139.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.56 / $57.60 / $60.29	Facility		$53.56	$57.60	$60.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $60.29 / $65.41	Professional		$60.29	$60.29	$65.41
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $74.08 / $74.08 / $74.08	Professional		$74.08	$74.08	$74.08
United Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $63.30 / $69.33	Professional		$60.29	$63.30	$69.33