Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.38 / $41.38 / $72.00	Facility		$41.38	$41.38	$72.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.38 / $41.38 / $55.25	Professional		$41.38	$41.38	$55.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.45 / $53.45 / $53.45	Professional		$53.45	$53.45	$53.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.38 / $41.38 / $41.38	Facility		$41.38	$41.38	$41.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.38 / $41.38 / $41.38	Professional		$41.38	$41.38	$41.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.38 / $41.38 / $49.66	Facility		$41.38	$41.38	$49.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.90 / $26.90 / $41.38	Professional		$26.90	$26.90	$41.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.90 / $31.20 / $54.07	Facility		$26.90	$31.20	$54.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $40.06 / $63.74	Professional		$20.07	$40.06	$63.74
United Facility/Professional Professional Modifier Low / Median / High Price $24.83 / $41.38 / $46.33	Professional		$24.83	$41.38	$46.33