Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.74 / $76.28 / $128.86	Professional		$51.74	$76.28	$128.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $62.10 / $71.98	Professional		$62.10	$62.10	$71.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $55.22 / $56.69 / $67.20	Facility		$55.22	$56.69	$67.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.72 / $35.72 / $55.22	Professional		$35.72	$35.72	$55.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.46 / $71.77 / $137.93	Professional		$40.46	$71.77	$137.93
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $71.42 / $71.42 / $71.42	Professional		$71.42	$71.42	$71.42
United Facility/Professional Professional Modifier Low / Median / High Price $37.27 / $63.02 / $98.81	Professional		$37.27	$63.02	$98.81