Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $32.36 / $43.65	Facility		$26.92	$32.36	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $27.54 / $53.70	Professional		$19.05	$27.54	$53.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $24.55 / $32.36	Professional		$18.62	$24.55	$32.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $28.84 / $63.10	Facility		$26.92	$28.84	$63.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Professional		$27.54	$27.54	$27.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $33.88 / $48.98	Professional		$19.95	$33.88	$48.98
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $33.88 / $39.81	Professional		$25.12	$33.88	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.12 / $42.66	Professional		$19.05	$25.12	$42.66