Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.49 / $19.00 / $30.73	Professional		$14.49	$19.00	$30.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $57.18 / $57.18	Professional		$20.00	$57.18	$57.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Facility		$29.51	$29.51	$29.51
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 $16.71 / $22.41 / $22.41	Facility		$16.71	$22.41	$22.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.41 / $22.41 / $29.34	Professional		$22.41	$22.41	$29.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $24.00 / $40.44	Professional		$19.00	$24.00	$40.44
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $23.00 / $23.00	Professional		$23.00	$23.00	$23.00
United Facility/Professional Professional Modifier Low / Median / High Price $30.02 / $43.68 / $78.34	Professional		$30.02	$43.68	$78.34