Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.80 / $82.45 / $883.69	Facility		$10.80	$82.45	$883.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.42 / $3.78 / $15.00	Professional		$2.42	$3.78	$15.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.75 / $3.75 / $9.09	Professional		$3.75	$3.75	$9.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.53 / $9.53 / $9.53	Facility		$9.53	$9.53	$9.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.91 / $5.91 / $9.09	Professional		$5.91	$5.91	$9.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $4.19 / $9.42	Facility		$1.95	$4.19	$9.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.50 / $1.80 / $1.88	Professional		$1.50	$1.80	$1.88
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $3.67 / $3.67 / $4.30	Professional		$3.67	$3.67	$4.30
United Facility/Professional Facility Modifier Low / Median / High Price $2.70 / $2.70 / $2.70	Facility		$2.70	$2.70	$2.70
United Facility/Professional Professional Modifier Low / Median / High Price $1.80 / $3.92 / $5.00	Professional		$1.80	$3.92	$5.00