Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $66.07 / $85.11	Professional		$47.86	$66.07	$85.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $72.44	Professional		$41.69	$41.69	$72.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $43.65 / $64.57	Professional		$41.69	$43.65	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $72.44 / $109.65	Professional		$35.48	$72.44	$109.65
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $51.29 / $75.86	Professional		$34.67	$51.29	$75.86