Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $22.91 / $30.20	Professional		$16.98	$22.91	$30.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $33.88 / $41.69	Professional		$25.12	$33.88	$41.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $38.90	Facility		$28.18	$28.18	$38.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $22.91 / $30.20	Professional		$20.42	$22.91	$30.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $42.66 / $50.12	Professional		$30.20	$42.66	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $28.84 / $41.69	Professional		$12.59	$28.84	$41.69
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $47.86	Professional		$44.67	$44.67	$47.86
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $29.51 / $52.48	Professional		$21.38	$29.51	$52.48