Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.21 / $33.47 / $39.04	Facility		$30.21	$33.47	$39.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.48 / $29.92 / $105.60	Professional		$17.48	$29.92	$105.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $34.70 / $41.78	Professional		$20.00	$34.70	$41.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.63 / $25.36 / $75.80	Facility		$23.63	$25.36	$75.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $20.34 / $23.80	Professional		$18.64	$20.34	$23.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $36.79 / $51.83	Professional		$20.32	$36.79	$51.83
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $32.52 / $48.05	Professional		$23.00	$32.52	$48.05
United Facility/Professional Professional Modifier Low / Median / High Price $23.01 / $29.26 / $50.33	Professional		$23.01	$29.26	$50.33