Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $23.57 / $36.72	Professional		$18.17	$23.57	$36.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $35.00 / $45.49	Professional		$35.00	$35.00	$45.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $72.00 / $72.00	Facility		$72.00	$72.00	$72.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $26.91 / $30.33	Professional		$20.32	$26.91	$30.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.76 / $43.07 / $46.13	Facility		$30.76	$43.07	$46.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $37.72 / $49.88	Professional		$30.23	$37.72	$49.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.58 / $29.16 / $38.15	Professional		$13.58	$29.16	$38.15
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $40.25 / $40.25 / $52.31	Professional		$40.25	$40.25	$52.31
United Facility/Professional Professional Modifier Low / Median / High Price $21.62 / $31.31 / $52.95	Professional		$21.62	$31.31	$52.95