Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $51.29 / $128.82	Facility		$34.67	$51.29	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $31.62 / $64.57	Professional		$16.98	$31.62	$64.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $22.39	Professional		$13.49	$13.49	$22.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $34.67	Facility		$25.70	$25.70	$34.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Facility		$23.44	$23.44	$23.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $22.39	Professional		$14.45	$14.45	$22.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $28.84 / $58.88	Facility		$17.78	$28.84	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $23.99 / $46.77	Professional		$18.62	$23.99	$46.77
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Professional		$25.70	$25.70	$25.70
United Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $19.95 / $26.92	Facility		$14.45	$19.95	$26.92
United Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $13.49 / $36.31	Professional		$9.33	$13.49	$36.31