Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.11 / $38.11 / $57.18	Facility		$38.11	$38.11	$57.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.06 / $35.99 / $60.99	Professional		$27.06	$35.99	$60.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.71 / $44.90 / $52.79	Professional		$39.71	$44.90	$52.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.95 / $40.88 / $88.09	Facility		$37.95	$40.88	$88.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.58 / $32.27 / $38.22	Professional		$29.58	$32.27	$38.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.40 / $43.40 / $49.74	Facility		$43.40	$43.40	$49.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.56 / $46.25 / $61.10	Professional		$27.56	$46.25	$61.10
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $41.10 / $51.60 / $60.71	Professional		$41.10	$51.60	$60.71
United Facility/Professional Professional Modifier Low / Median / High Price $27.30 / $39.06 / $54.77	Professional		$27.30	$39.06	$54.77