Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.19 / $11.88 / $17.05	Facility		$9.19	$11.88	$17.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $13.06 / $21.15	Professional		$7.76	$13.06	$21.15
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $14.97 / $14.97 / $14.97	Professional	25	$14.97	$14.97	$14.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $23.00 / $23.00	Professional		$23.00	$23.00	$23.00
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 $8.21 / $16.82 / $22.28	Professional		$8.21	$16.82	$22.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.39 / $11.49 / $14.03	Facility		$8.39	$11.49	$14.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.45 / $20.14 / $36.46	Professional		$15.45	$20.14	$36.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.15 / $15.77 / $15.77	Professional		$8.15	$15.77	$15.77
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $26.45 / $26.45 / $26.45	Professional		$26.45	$26.45	$26.45
United Facility/Professional Professional Modifier Low / Median / High Price $15.77 / $21.17 / $32.52	Professional		$15.77	$21.17	$32.52