Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $23.99	Facility		$23.44	$23.44	$23.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $23.44 / $70.79	Professional		$15.14	$23.44	$70.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $23.44 / $28.84	Professional		$17.78	$23.44	$28.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $26.92	Professional		$19.95	$19.95	$26.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Facility		$17.78	$17.78	$17.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Professional		$17.78	$17.78	$17.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $22.91 / $39.81	Professional		$16.22	$22.91	$39.81
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $26.92 / $33.11	Professional		$20.42	$26.92	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $19.05 / $30.20	Professional		$13.18	$19.05	$30.20