Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $36.31 / $128.82	Facility		$16.98	$36.31	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.96 / $30.20	Professional		$7.94	$10.96	$30.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $10.72 / $18.20	Professional		$4.79	$10.72	$18.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $19.50	Facility		$14.45	$14.45	$19.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $15.85 / $15.85	Professional		$10.72	$15.85	$15.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Facility		$13.18	$13.18	$13.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $12.59	Professional		$8.13	$8.13	$12.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $19.05 / $28.18	Facility		$8.13	$19.05	$28.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $13.80 / $30.90	Professional		$6.17	$13.80	$30.90
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
United Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $11.22 / $12.59	Facility		$8.13	$11.22	$12.59
United Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $7.59 / $12.59	Professional		$5.25	$7.59	$12.59