Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $48.98 / $112.20	Facility		$4.90	$48.98	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $4.17 / $10.72	Professional		$2.00	$4.17	$10.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.91 / $3.98	Professional		$1.35	$1.91	$3.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $3.63 / $4.90	Facility		$3.63	$3.63	$4.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $5.25 / $5.25	Professional		$3.63	$5.25	$5.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.31 / $3.31 / $3.31	Facility		$3.31	$3.31	$3.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $3.16	Professional		$2.04	$2.04	$3.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.51 / $4.27 / $8.51	Facility		$2.51	$4.27	$8.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.91 / $3.72 / $4.68	Professional		$1.91	$3.72	$4.68
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $3.63 / $7.59	Professional		$3.09	$3.63	$7.59
United Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $2.82 / $3.16	Facility		$2.04	$2.82	$3.16
United Facility/Professional Professional Modifier Low / Median / High Price $1.91 / $3.16 / $5.37	Professional		$1.91	$3.16	$5.37