Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.67 / $66.67 / $84.64	Facility		$66.67	$66.67	$84.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.33 / $64.40 / $89.68	Professional		$30.33	$64.40	$89.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.99 / $71.20 / $105.00	Professional		$49.99	$71.20	$105.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.68 / $50.23 / $127.46	Facility		$46.68	$50.23	$127.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.53 / $39.85 / $47.01	Professional		$36.53	$39.85	$47.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.14 / $85.14 / $89.99	Facility		$85.14	$85.14	$89.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.53 / $79.43 / $107.48	Professional		$39.53	$79.43	$107.48
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $50.73 / $81.89 / $120.75	Professional		$50.73	$81.89	$120.75
United Facility/Professional Professional Modifier Low / Median / High Price $34.22 / $53.86 / $90.20	Professional		$34.22	$53.86	$90.20