Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.26 / $33.68 / $41.97	Facility		$26.26	$33.68	$41.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.58 / $33.68 / $263.14	Professional		$23.58	$33.68	$263.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.52 / $37.71 / $43.23	Professional		$32.52	$37.71	$43.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.04 / $37.11 / $38.29	Professional		$26.04	$37.11	$38.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.72 / $37.90 / $45.74	Facility		$27.72	$37.90	$45.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.91 / $36.93 / $67.19	Professional		$27.91	$36.93	$67.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.14 / $39.14 / $39.14	Facility		$39.14	$39.14	$39.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.55 / $39.08 / $49.48	Professional		$28.55	$39.08	$49.48
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $37.40 / $43.37 / $49.71	Professional		$37.40	$43.37	$49.71
United Facility/Professional Professional Modifier Low / Median / High Price $29.75 / $37.69 / $46.62	Professional		$29.75	$37.69	$46.62