Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.49 / $19.00 / $42.65	Professional		$14.49	$19.00	$42.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.70 / $79.70 / $79.70	Professional		$79.70	$79.70	$79.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.43 / $75.43 / $75.43	Facility		$75.43	$75.43	$75.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $18.00 / $18.00	Professional		$18.00	$18.00	$18.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.57 / $18.68 / $18.68	Facility		$18.57	$18.68	$18.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.68 / $18.68 / $55.40	Professional		$18.68	$18.68	$55.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $27.00 / $82.67	Professional		$21.00	$27.00	$82.67
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $23.00 / $40.25	Professional		$23.00	$23.00	$40.25
United Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $60.88 / $108.48	Professional		$39.50	$60.88	$108.48