Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.00 / $42.00 / $50.39	Facility		$42.00	$42.00	$50.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.34 / $24.45 / $50.39	Professional		$18.34	$24.45	$50.39
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $96.00 / $96.00 / $96.00	Professional	25	$96.00	$96.00	$96.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.42 / $36.35 / $42.27	Professional		$26.42	$36.35	$42.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $72.00 / $72.00	Facility		$72.00	$72.00	$72.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.41 / $33.63 / $38.38	Professional		$25.41	$33.63	$38.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.79 / $19.46 / $36.77	Facility		$17.79	$19.46	$36.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.90 / $31.38 / $45.03	Professional		$21.90	$31.38	$45.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $35.00 / $60.75	Professional		$19.00	$35.00	$60.75
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $30.38 / $41.80 / $49.54	Professional		$30.38	$41.80	$49.54
United Facility/Professional Professional Modifier Low / Median / High Price $25.90 / $40.00 / $52.78	Professional		$25.90	$40.00	$52.78