Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.50 / $19.00 / $28.97	Professional		$14.50	$19.00	$28.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.50 / $54.97 / $54.98	Professional		$22.50	$54.97	$54.98
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 $27.00 / $27.00 / $27.00	Professional		$27.00	$27.00	$27.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.02 / $22.41 / $22.41	Facility		$17.02	$22.41	$22.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.41 / $22.41 / $37.59	Professional		$22.41	$22.41	$37.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $25.00 / $40.44	Professional		$19.00	$25.00	$40.44
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $25.88 / $25.88 / $38.28	Professional		$25.88	$25.88	$38.28
United Facility/Professional Professional Modifier Low / Median / High Price $28.40 / $43.92 / $77.50	Professional		$28.40	$43.92	$77.50