Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $346.74 / $1,288.25	Facility		$52.48	$346.74	$1,288.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $27.54 / $83.18	Professional		$18.20	$27.54	$83.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $10.00 / $10.96	Professional		$1.00	$10.00	$10.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.12 / $0.12 / $0.12	Facility		$0.12	$0.12	$0.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.12 / $0.12	Professional		$0.12	$0.12	$0.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.11 / $0.15	Facility		$0.10	$0.11	$0.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.11 / $0.25	Professional		$0.10	$0.11	$0.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.11 / $0.35	Facility		$0.10	$0.11	$0.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.11	Professional		$0.11	$0.11	$0.11
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $12.59	Professional		$12.59	$12.59	$12.59
United Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.14	Professional		$0.11	$0.11	$0.14