Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $29.51 / $269.15	Facility		$13.49	$29.51	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $8.91 / $20.42	Professional		$6.03	$8.91	$20.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $5.01 / $15.49	Professional		$4.07	$5.01	$15.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $13.49	Facility		$10.00	$10.00	$13.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $14.45 / $14.45	Professional		$9.77	$14.45	$14.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $9.12 / $9.12	Facility		$9.12	$9.12	$9.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $5.62 / $8.71	Professional		$5.62	$5.62	$8.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $11.48 / $22.91	Facility		$6.92	$11.48	$22.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $10.00 / $12.30	Professional		$5.13	$10.00	$12.30
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $16.98 / $20.89	Professional		$10.00	$16.98	$20.89
United Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $7.76 / $8.71	Facility		$5.62	$7.76	$8.71
United Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $5.25 / $14.45	Professional		$3.47	$5.25	$14.45