Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $25.12 / $177.83	Facility		$20.89	$25.12	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.96 / $20.89	Professional		$8.91	$10.96	$20.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Professional		$13.49	$13.49	$13.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $21.38	Facility		$15.49	$15.49	$21.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $22.91 / $22.91	Professional		$15.49	$22.91	$22.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Facility		$14.13	$14.13	$14.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $13.49	Professional		$8.91	$8.91	$13.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $18.20 / $36.31	Facility		$10.72	$18.20	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $11.48 / $19.50	Professional		$8.13	$11.48	$19.50
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Professional		$15.49	$15.49	$15.49
United Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $12.30 / $13.49	Facility		$8.91	$12.30	$13.49
United Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $8.13 / $22.39	Professional		$5.50	$8.13	$22.39