Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.12 / $16.43 / $27.04	Facility		$12.12	$16.43	$27.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.56 / $13.96 / $22.64	Professional		$10.56	$13.96	$22.64
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $12.55 / $19.89 / $21.00	Professional	25	$12.55	$19.89	$21.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.35 / $16.10 / $18.39	Professional		$12.35	$16.10	$18.39
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $12.35 / $17.82 / $17.89	Professional	25	$12.35	$17.82	$17.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.17 / $28.17 / $28.17	Facility		$28.17	$28.17	$28.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.68 / $15.57 / $19.37	Professional		$11.68	$15.57	$19.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.91 / $14.84 / $18.23	Facility		$10.91	$14.84	$18.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.83 / $17.10 / $31.00	Professional		$12.83	$17.10	$31.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.03 / $13.03 / $34.79	Facility		$13.03	$13.03	$34.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.34 / $15.53 / $20.58	Professional		$11.34	$15.53	$20.58
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $14.20 / $18.52 / $21.15	Professional		$14.20	$18.52	$21.15
Qualchoice Facility/Professional Professional Modifier 25 Low / Median / High Price $14.20 / $20.49 / $20.57	Professional	25	$14.20	$20.49	$20.57
United Facility/Professional Professional Modifier Low / Median / High Price $12.27 / $15.52 / $21.57	Professional		$12.27	$15.52	$21.57