Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $30.90 / $40.74	Facility		$28.18	$30.90	$40.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $45.71	Professional		$19.95	$25.12	$45.71
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $40.74 / $40.74 / $40.74	Professional	25	$40.74	$40.74	$40.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $30.90 / $51.29	Professional		$20.42	$30.90	$51.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $28.84 / $38.90	Professional		$26.30	$28.84	$38.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $30.90 / $43.65	Facility		$23.44	$30.90	$43.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $32.36 / $66.07	Professional		$27.54	$32.36	$66.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Facility		$34.67	$34.67	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $34.67 / $51.29	Professional		$25.70	$34.67	$51.29
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Professional		$37.15	$37.15	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.20 / $40.74	Professional		$23.99	$30.20	$40.74