Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $28.18 / $257.04	Facility		$19.95	$28.18	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.13 / $41.69	Professional		$10.00	$14.13	$41.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $7.76 / $26.92	Professional		$6.46	$7.76	$26.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $19.95	Facility		$14.79	$14.79	$19.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $21.38 / $21.38	Professional		$14.45	$21.38	$21.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Facility		$13.49	$13.49	$13.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $8.32 / $12.88	Professional		$8.32	$8.32	$12.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $17.38 / $33.88	Facility		$10.23	$17.38	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.72 / $18.62	Professional		$7.59	$10.72	$18.62
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $24.55 / $30.90	Professional		$12.59	$24.55	$30.90
United Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $11.48 / $15.49	Facility		$8.32	$11.48	$15.49
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $12.88 / $21.38	Professional		$7.76	$12.88	$21.38