Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $41.83 / $80.55	Facility		$3.80	$41.83	$80.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $3.49 / $4.03	Professional		$1.85	$3.49	$4.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.12 / $7.50	Professional		$1.12	$1.12	$7.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.57 / $2.57 / $2.57	Facility		$2.57	$2.57	$2.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $3.74 / $3.74	Professional		$2.54	$3.74	$3.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.36 / $2.36 / $2.36	Facility		$2.36	$2.36	$2.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.46 / $1.46 / $2.25	Professional		$1.46	$1.46	$2.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.69 / $2.77 / $5.68	Facility		$1.69	$2.77	$5.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $2.48 / $3.10	Professional		$1.32	$2.48	$3.10
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $8.63 / $8.63 / $8.63	Professional		$8.63	$8.63	$8.63
United Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $2.25 / $3.67	Professional		$1.35	$2.25	$3.67