Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $38.19 / $87.12	Facility		$12.59	$38.19	$87.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.66 / $12.59 / $15.60	Professional		$6.66	$12.59	$15.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.09 / $8.09 / $8.09	Professional		$8.09	$8.09	$8.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.22 / $9.22 / $9.22	Facility		$9.22	$9.22	$9.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.17 / $13.49 / $13.49	Professional		$9.17	$13.49	$13.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.49 / $8.49 / $8.49	Facility		$8.49	$8.49	$8.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.26 / $5.26 / $8.09	Professional		$5.26	$5.26	$8.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.10 / $10.00 / $20.74	Facility		$6.10	$10.00	$20.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.56 / $6.79 / $11.87	Professional		$5.56	$6.79	$11.87
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $9.30 / $9.30 / $9.30	Professional		$9.30	$9.30	$9.30
United Facility/Professional Professional Modifier Low / Median / High Price $3.40 / $4.84 / $8.14	Professional		$3.40	$4.84	$8.14