Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.85 / $69.81 / $125.40	Facility		$10.85	$69.81	$125.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.81 / $10.85 / $13.70	Professional		$2.81	$10.85	$13.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $4.30 / $4.30	Professional		$4.30	$4.30	$4.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.82 / $9.82 / $9.82	Facility		$9.82	$9.82	$9.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.78 / $12.92 / $12.92	Professional		$8.78	$12.92	$12.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.03 / $9.03 / $9.03	Facility		$9.03	$9.03	$9.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.60 / $5.60 / $8.61	Professional		$5.60	$5.60	$8.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.79 / $7.82 / $16.34	Facility		$5.79	$7.82	$16.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.83 / $7.82 / $12.39	Professional		$3.83	$7.82	$12.39
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $10.52 / $10.52 / $10.52	Professional		$10.52	$10.52	$10.52
United Facility/Professional Facility Modifier Low / Median / High Price $7.75 / $7.75 / $7.75	Facility		$7.75	$7.75	$7.75
United Facility/Professional Professional Modifier Low / Median / High Price $5.17 / $8.61 / $10.33	Professional		$5.17	$8.61	$10.33