Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $57.54	Facility		$38.02	$38.02	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $30.90 / $81.28	Professional		$26.92	$30.90	$81.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $36.31 / $52.48	Professional		$25.70	$36.31	$52.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $40.74 / $87.10	Facility		$38.02	$40.74	$87.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Professional		$38.02	$38.02	$38.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $46.77 / $66.07	Professional		$27.54	$46.77	$66.07
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $47.86 / $60.26	Professional		$40.74	$47.86	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $36.31 / $53.70	Professional		$27.54	$36.31	$53.70