Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $27.54 / $870.96	Professional		$15.14	$27.54	$870.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $21.38	Professional		$12.02	$12.02	$21.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $29.51	Professional		$19.50	$19.50	$29.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $19.50 / $25.12	Facility		$17.38	$19.50	$25.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.59 / $18.62	Professional		$12.30	$12.59	$18.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.12 / $53.70	Professional		$19.05	$25.12	$53.70
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Professional		$24.55	$24.55	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $25.12 / $46.77	Professional		$12.30	$25.12	$46.77