Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.95 / $23.03 / $30.60	Professional		$20.95	$23.03	$30.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.44 / $25.44 / $25.44	Professional		$25.44	$25.44	$25.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.91 / $37.22 / $46.52	Professional		$27.91	$37.22	$46.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.89 / $22.89 / $27.46	Facility		$21.89	$22.89	$27.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.89 / $21.89 / $21.89	Professional		$21.89	$21.89	$21.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.32 / $22.32 / $27.27	Professional		$22.32	$22.32	$27.27
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $29.26 / $29.26 / $29.26	Professional		$29.26	$29.26	$29.26
United Facility/Professional Professional Modifier Low / Median / High Price $13.03 / $21.46 / $29.27	Professional		$13.03	$21.46	$29.27