Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.86 / $22.94 / $92.46	Facility		$8.86	$22.94	$92.46
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $58.00 / $84.60 / $101.10	Facility	25	$58.00	$84.60	$101.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.83 / $18.92 / $38.97	Professional		$7.83	$18.92	$38.97
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $19.00 / $35.90 / $78.97	Professional	25	$19.00	$35.90	$78.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.25 / $23.51 / $25.22	Professional		$9.25	$23.51	$25.22
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $20.75 / $24.95 / $28.15	Professional	25	$20.75	$24.95	$28.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.49 / $22.49 / $22.49	Facility		$22.49	$22.49	$22.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $11.66 / $30.24	Professional		$8.75	$11.66	$30.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.10 / $11.10 / $13.50	Facility		$8.10	$11.10	$13.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.18 / $27.55 / $47.46	Professional		$20.18	$27.55	$47.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.71 / $125.00 / $148.00	Facility		$86.71	$125.00	$148.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.80 / $18.50 / $29.59	Professional		$8.80	$18.50	$29.59
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $10.64 / $28.69 / $29.61	Professional		$10.64	$28.69	$29.61
Qualchoice Facility/Professional Professional Modifier 25 Low / Median / High Price $23.21 / $27.04 / $32.36	Professional	25	$23.21	$27.04	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $18.77 / $22.95 / $31.11	Professional		$18.77	$22.95	$31.11