Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.59 / $21.38 / $195.30	Facility		$18.59	$21.38	$195.30
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $9.30 / $9.57 / $11.73	Facility	52	$9.30	$9.57	$11.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.77 / $16.14 / $38.52	Professional		$11.77	$16.14	$38.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.26 / $19.78 / $29.10	Professional		$17.26	$19.78	$29.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.37 / $19.72 / $42.45	Facility		$18.37	$19.72	$42.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $15.77 / $18.50	Professional		$14.45	$15.77	$18.50
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 $13.15 / $21.77 / $36.06	Professional		$13.15	$21.77	$36.06
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $22.05 / $23.35 / $33.47	Professional		$22.05	$23.35	$33.47
United Facility/Professional Professional Modifier Low / Median / High Price $13.19 / $17.73 / $29.13	Professional		$13.19	$17.73	$29.13