Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.75 / $15.00 / $28.97	Professional		$10.75	$15.00	$28.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.97 / $54.97 / $54.97	Professional		$54.97	$54.97	$54.97
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 $13.50 / $13.50 / $13.50	Professional		$13.50	$13.50	$13.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.02 / $17.13 / $17.13	Facility		$17.02	$17.13	$17.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.13 / $17.13 / $37.59	Professional		$17.13	$17.13	$37.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.00 / $40.44	Professional		$10.00	$15.00	$40.44
United Facility/Professional Professional Modifier Low / Median / High Price $26.83 / $41.34 / $67.22	Professional		$26.83	$41.34	$67.22