Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.08 / $39.93 / $53.09	Facility		$29.08	$39.93	$53.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.30 / $39.42 / $55.81	Professional		$20.30	$39.42	$55.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.39 / $35.39 / $35.39	Professional		$35.39	$35.39	$35.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.75 / $34.75 / $34.75	Facility		$34.75	$34.75	$34.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.55 / $30.55 / $30.55	Facility		$30.55	$30.55	$30.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $19.82 / $19.82	Professional		$19.82	$19.82	$19.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.03 / $26.85 / $55.01	Facility		$19.03	$26.85	$55.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.84 / $30.91 / $49.17	Professional		$13.84	$30.91	$49.17
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $40.70 / $40.70 / $40.70	Professional		$40.70	$40.70	$40.70
United Facility/Professional Facility Modifier Low / Median / High Price $30.49 / $30.49 / $30.49	Facility		$30.49	$30.49	$30.49
United Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $27.72 / $35.65	Professional		$17.98	$27.72	$35.65