Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $9.12 / $54.95	Professional		$3.98	$9.12	$54.95
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $10.00 / $10.00 / $14.13	Professional	25	$10.00	$10.00	$14.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $4.79 / $6.76	Professional		$3.55	$4.79	$6.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $44.67	Facility		$32.36	$32.36	$44.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $4.90 / $6.46	Professional		$4.90	$4.90	$6.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $4.07 / $6.92	Facility		$3.02	$4.07	$6.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $4.79 / $6.61	Professional		$3.16	$4.79	$6.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.98 / $8.32	Professional		$3.02	$3.98	$8.32
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $6.92 / $8.91	Professional		$5.75	$6.92	$8.91
United Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $5.75 / $10.00	Professional		$4.17	$5.75	$10.00