Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.38 / $31.29 / $71.54	Facility		$24.38	$31.29	$71.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.20 / $27.96 / $27.96	Professional		$14.20	$27.96	$27.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $17.98 / $17.98	Professional		$17.98	$17.98	$17.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.50 / $20.50 / $20.50	Facility		$20.50	$20.50	$20.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.37 / $29.96 / $29.96	Professional		$20.37	$29.96	$29.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.88 / $18.88 / $18.88	Facility		$18.88	$18.88	$18.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.69 / $11.69 / $17.98	Professional		$11.69	$11.69	$17.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.56 / $22.19 / $45.88	Facility		$13.56	$22.19	$45.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $20.65 / $25.81	Professional		$10.74	$20.65	$25.81
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $20.68 / $20.68 / $20.68	Professional		$20.68	$20.68	$20.68
United Facility/Professional Professional Modifier Low / Median / High Price $7.55 / $10.79 / $17.98	Professional		$7.55	$10.79	$17.98