Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.27 / $44.21 / $66.31	Facility		$30.27	$44.21	$66.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $32.81 / $44.21	Professional		$21.05	$32.81	$44.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $17.55 / $35.09	Professional		$17.55	$17.55	$35.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $35.09 / $42.11	Facility		$35.09	$35.09	$42.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $22.81 / $35.09	Professional		$22.81	$22.81	$35.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.81 / $26.46 / $62.96	Facility		$22.81	$26.46	$62.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.96 / $30.04 / $52.61	Professional		$15.96	$30.04	$52.61
United Facility/Professional Facility Modifier Low / Median / High Price $31.58 / $31.58 / $31.58	Facility		$31.58	$31.58	$31.58
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $21.05 / $49.00	Professional		$14.74	$21.05	$49.00