Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.78 / $206.05 / $490.92	Facility		$48.78	$206.05	$490.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $48.78 / $316.27	Professional		$40.65	$48.78	$316.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.16 / $47.16 / $47.16	Professional		$47.16	$47.16	$47.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.70 / $44.70 / $44.70	Facility		$44.70	$44.70	$44.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.46 / $44.70 / $44.70	Professional		$43.46	$44.70	$44.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.20 / $54.88 / $63.01	Facility		$41.20	$54.88	$63.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $46.75	Professional		$40.65	$40.65	$46.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.35 / $40.65 / $49.08	Facility		$38.35	$40.65	$49.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $44.10	Professional		$40.65	$40.65	$44.10
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $54.23 / $54.23 / $54.23	Professional		$54.23	$54.23	$54.23
United Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $158.10	Professional		$40.65	$40.65	$158.10