Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.30 / $23.86 / $35.29	Facility		$16.30	$23.86	$35.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $35.29 / $64.00	Professional		$16.30	$35.29	$64.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.49 / $57.05 / $69.33	Professional		$48.49	$57.05	$69.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.69 / $23.69 / $23.69	Facility		$23.69	$23.69	$23.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.26 / $37.13 / $55.70	Professional		$17.26	$37.13	$55.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.80 / $23.03 / $28.06	Facility		$16.80	$23.03	$28.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.72 / $50.76 / $91.17	Professional		$38.72	$50.76	$91.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.32 / $13.32 / $13.32	Facility		$13.32	$13.32	$13.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.30 / $39.88 / $40.61	Professional		$20.30	$39.88	$40.61
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $55.76 / $68.59 / $79.73	Professional		$55.76	$68.59	$79.73
United Facility/Professional Professional Modifier Low / Median / High Price $37.11 / $44.22 / $59.30	Professional		$37.11	$44.22	$59.30