Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $213.80	Facility		$32.36	$32.36	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $32.36 / $66.07	Professional		$20.89	$32.36	$66.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $28.84 / $39.81	Professional		$21.88	$28.84	$39.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $35.48 / $74.13	Facility		$32.36	$35.48	$74.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Professional		$33.11	$33.11	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $34.67 / $56.23	Professional		$23.44	$34.67	$56.23
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $39.81 / $46.77	Professional		$33.11	$39.81	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $29.51 / $47.86	Professional		$22.39	$29.51	$47.86