Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.29 / $29.94 / $55.90	Facility		$25.29	$29.94	$55.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.75 / $25.29 / $38.18	Professional		$20.75	$25.29	$38.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.70 / $32.99 / $34.36	Professional		$28.70	$32.99	$34.36
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $24.99 / $34.31 / $35.42	Professional	25	$24.99	$34.31	$35.42
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 $24.68 / $32.92 / $36.29	Professional		$24.68	$32.92	$36.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.03 / $31.37 / $38.53	Facility		$23.03	$31.37	$38.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24.63 / $32.70 / $59.62	Professional		$24.63	$32.70	$59.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.88 / $25.88 / $34.79	Facility		$25.88	$25.88	$34.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.33 / $30.59 / $39.72	Professional		$23.33	$30.59	$39.72
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $33.01 / $37.94 / $39.51	Professional		$33.01	$37.94	$39.51
Qualchoice Facility/Professional Professional Modifier 25 Low / Median / High Price $33.53 / $39.46 / $40.72	Professional	25	$33.53	$39.46	$40.72
United Facility/Professional Professional Modifier Low / Median / High Price $23.69 / $29.59 / $41.12	Professional		$23.69	$29.59	$41.12