Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.81 / $42.84 / $54.90	Facility		$33.81	$42.84	$54.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.16 / $34.89 / $62.06	Professional		$25.16	$34.89	$62.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.45 / $41.86 / $52.13	Professional		$37.45	$41.86	$52.13
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 $35.42 / $47.40 / $84.65	Professional		$35.42	$47.40	$84.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.80 / $46.80 / $46.80	Facility		$46.80	$46.80	$46.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.21 / $41.69 / $55.82	Professional		$30.21	$41.69	$55.82
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $47.46 / $48.14 / $59.95	Professional		$47.46	$48.14	$59.95
United Facility/Professional Professional Modifier Low / Median / High Price $36.53 / $43.74 / $56.36	Professional		$36.53	$43.74	$56.36