Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.56 / $47.50 / $154.08	Facility		$12.56	$47.50	$154.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.65 / $12.56 / $12.56	Professional		$6.65	$12.56	$12.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.08 / $8.08 / $8.08	Professional		$8.08	$8.08	$8.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.21 / $9.21 / $9.21	Facility		$9.21	$9.21	$9.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.15 / $13.46 / $13.46	Professional		$9.15	$13.46	$13.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.48 / $8.48 / $8.48	Facility		$8.48	$8.48	$8.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.25 / $8.08	Professional		$5.25	$5.25	$8.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.09 / $9.98 / $20.74	Facility		$6.09	$9.98	$20.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.56 / $6.77 / $11.87	Professional		$5.56	$6.77	$11.87
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $9.28 / $9.28 / $9.28	Professional		$9.28	$9.28	$9.28
United Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $5.50 / $11.29	Professional		$3.39	$5.50	$11.29