Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $275.00	Facility		$91.20	$91.20	$275.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.44 / $14.63 / $17.39	Professional		$12.44	$14.63	$17.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $22.52 / $22.52	Professional		$20.00	$22.52	$22.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.15 / $11.70 / $13.94	Facility		$11.15	$11.70	$13.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.28 / $14.28 / $14.28	Professional		$14.28	$14.28	$14.28
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $25.90 / $25.90	Professional		$20.65	$25.90	$25.90
United Facility/Professional Professional Modifier Low / Median / High Price $15.38 / $18.64 / $24.18	Professional		$15.38	$18.64	$24.18