Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.82 / $32.22 / $43.50	Facility		$27.82	$32.22	$43.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.69 / $24.49 / $47.93	Professional		$17.69	$24.49	$47.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.89 / $30.10 / $34.99	Professional		$25.89	$30.10	$34.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.15 / $29.11 / $63.70	Facility		$27.15	$29.11	$63.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.43 / $23.38 / $27.34	Professional		$21.43	$23.38	$27.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.92 / $210.92 / $210.92	Facility		$210.92	$210.92	$210.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.93 / $33.57 / $48.09	Professional		$19.93	$33.57	$48.09
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $33.72 / $34.61 / $39.84	Professional		$33.72	$34.61	$39.84
United Facility/Professional Facility Modifier Low / Median / High Price $20.62 / $32.15 / $34.06	Facility		$20.62	$32.15	$34.06
United Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $27.29 / $44.49	Professional		$19.32	$27.29	$44.49