Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $16.22 / $20.42	Facility		$12.88	$16.22	$20.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.94 / $20.89	Professional		$6.03	$7.94	$20.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $4.47 / $8.91	Professional		$4.47	$4.47	$8.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $10.23 / $13.80	Facility		$10.23	$10.23	$13.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.79 / $14.79	Professional		$10.00	$14.79	$14.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $9.33 / $9.33	Facility		$9.33	$9.33	$9.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $5.75 / $8.91	Professional		$5.75	$5.75	$8.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $11.75 / $23.99	Facility		$7.08	$11.75	$23.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $7.41 / $12.30	Professional		$5.25	$7.41	$12.30
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.23 / $10.23	Professional		$10.23	$10.23	$10.23
United Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $7.94 / $8.91	Facility		$5.75	$7.94	$8.91
United Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $5.37 / $14.79	Professional		$3.72	$5.37	$14.79