Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $52.48	Facility		$25.12	$25.12	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $37.15 / $60.26	Professional		$15.85	$37.15	$60.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $45.71 / $63.10	Professional		$20.42	$45.71	$63.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $51.29	Professional		$38.90	$38.90	$51.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $16.98 / $28.84	Facility		$12.59	$16.98	$28.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $40.74 / $54.95	Professional		$26.92	$40.74	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $44.67 / $56.23	Professional		$25.70	$44.67	$56.23
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $58.88 / $77.62	Professional		$38.90	$58.88	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $40.74 / $67.61	Professional		$19.05	$40.74	$67.61