Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $23.99 / $58.88	Facility		$19.95	$23.99	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $22.91 / $53.70	Professional		$12.59	$22.91	$53.70
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $10.00 / $10.00 / $22.91	Professional	25	$10.00	$10.00	$22.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $14.79 / $21.88	Professional		$11.48	$14.79	$21.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $21.88	Professional		$16.60	$16.60	$21.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $20.42 / $48.98	Facility		$18.20	$20.42	$48.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Professional		$18.20	$18.20	$18.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $25.70 / $38.90	Professional		$13.18	$25.70	$38.90
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $22.91 / $30.20	Professional		$18.62	$22.91	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $19.50 / $30.20	Professional		$14.45	$19.50	$30.20