Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $20.42 / $107.15	Facility		$19.95	$20.42	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.72 / $25.70	Professional		$10.00	$10.72	$25.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $23.44	Professional		$13.18	$13.18	$23.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $20.89	Facility		$15.14	$15.14	$20.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $21.88 / $21.88	Professional		$15.14	$21.88	$21.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Facility		$13.80	$13.80	$13.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $13.18	Professional		$8.71	$8.71	$13.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $15.85 / $33.11	Facility		$8.71	$15.85	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $15.14 / $19.05	Professional		$7.41	$15.14	$19.05
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $26.92	Professional		$15.14	$15.14	$26.92
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $15.85	Facility		$12.02	$12.02	$15.85
United Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $9.12 / $22.39	Professional		$5.62	$9.12	$22.39