Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.09 / $59.40 / $199.23	Facility		$12.09	$59.40	$199.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.12 / $13.44 / $13.44	Professional		$7.12	$13.44	$13.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.65 / $8.65 / $8.65	Professional		$8.65	$8.65	$8.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.86 / $9.86 / $9.86	Facility		$9.86	$9.86	$9.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.81 / $14.42 / $14.42	Professional		$9.81	$14.42	$14.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.08 / $9.08 / $9.08	Facility		$9.08	$9.08	$9.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $5.62 / $8.65	Professional		$5.62	$5.62	$8.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.52 / $10.68 / $22.00	Facility		$6.52	$10.68	$22.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.15 / $9.91 / $12.39	Professional		$5.15	$9.91	$12.39
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $9.94 / $9.94	Professional		$9.94	$9.94	$9.94
United Facility/Professional Facility Modifier Low / Median / High Price $8.65 / $8.65 / $8.65	Facility		$8.65	$8.65	$8.65
United Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $4.87 / $9.67	Professional		$3.63	$4.87	$9.67