Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $31.62 / $85.11	Facility		$25.12	$31.62	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $22.39 / $53.70	Professional		$12.88	$22.39	$53.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $10.00 / $16.60	Professional		$8.32	$10.00	$16.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $26.30	Facility		$19.05	$19.05	$26.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $27.54 / $27.54	Professional		$19.05	$27.54	$27.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $16.60	Professional		$10.96	$10.96	$16.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $22.39 / $44.67	Facility		$13.18	$22.39	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.13 / $23.99	Professional		$10.00	$14.13	$23.99
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Professional		$19.05	$19.05	$19.05
United Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $15.14 / $16.60	Facility		$10.96	$15.14	$16.60
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.47 / $27.54	Professional		$7.08	$10.47	$27.54