Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $17.38 / $66.07	Facility		$10.23	$17.38	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $28.84 / $56.23	Professional		$15.85	$28.84	$56.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $11.48 / $15.14	Professional		$4.47	$11.48	$15.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $46.77	Facility		$33.88	$33.88	$46.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $44.67 / $44.67	Professional		$30.90	$44.67	$44.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Facility		$31.62	$31.62	$31.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $30.20	Professional		$19.50	$19.50	$30.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $23.99 / $44.67	Facility		$11.22	$23.99	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $10.00 / $43.65	Professional		$7.24	$10.00	$43.65
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $12.30	Professional		$12.30	$12.30	$12.30
United Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $26.92 / $30.20	Facility		$19.50	$26.92	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $12.59 / $18.20	Professional		$6.17	$12.59	$18.20