Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $33.88 / $125.89	Facility		$21.88	$33.88	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.85 / $47.86	Professional		$10.96	$15.85	$47.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $9.33 / $30.20	Professional		$7.24	$9.33	$30.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $22.91	Facility		$16.60	$16.60	$22.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $24.55 / $24.55	Professional		$16.60	$24.55	$24.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Facility		$15.49	$15.49	$15.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $9.55 / $14.45	Professional		$9.55	$9.55	$14.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $18.62 / $38.90	Facility		$11.48	$18.62	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $12.30 / $21.38	Professional		$8.71	$12.30	$21.38
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Professional		$34.67	$34.67	$34.67
United Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $13.18 / $14.45	Facility		$9.33	$13.18	$14.45
United Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $9.33 / $23.99	Professional		$6.17	$9.33	$23.99