Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $31.62 / $128.82	Facility		$22.91	$31.62	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $22.91 / $812.83	Professional		$10.96	$22.91	$812.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $9.55 / $15.14	Professional		$7.59	$9.55	$15.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $23.44	Facility		$16.98	$16.98	$23.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $25.12 / $25.12	Professional		$16.98	$25.12	$25.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Facility		$15.85	$15.85	$15.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $15.14	Professional		$9.77	$9.77	$15.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $19.05 / $39.81	Facility		$11.75	$19.05	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.59 / $21.38	Professional		$8.91	$12.59	$21.38
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Professional		$17.38	$17.38	$17.38
United Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $16.98	Facility		$13.49	$13.49	$16.98
United Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $12.30 / $24.55	Professional		$6.31	$12.30	$24.55