Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.60 / $39.60 / $59.40	Facility		$39.60	$39.60	$59.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.03 / $39.60 / $50.15	Professional		$27.03	$39.60	$50.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.67 / $45.67 / $46.86	Professional		$45.67	$45.67	$46.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.46 / $32.46 / $32.46	Facility		$32.46	$32.46	$32.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.57 / $37.81 / $42.80	Facility		$31.57	$37.81	$42.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.85 / $34.65 / $70.56	Professional		$29.85	$34.65	$70.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.85 / $40.85 / $48.03	Facility		$40.85	$40.85	$48.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.97 / $47.45 / $67.91	Professional		$34.97	$47.45	$67.91
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $52.52 / $52.52 / $53.89	Professional		$52.52	$52.52	$53.89
United Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $44.76 / $64.26	Professional		$30.17	$44.76	$64.26