Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.65 / $14.55 / $1,534.80	Facility		$12.65	$14.55	$1,534.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.96 / $14.55	Professional		$10.54	$10.96	$14.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.12 / $12.12 / $14.37	Professional		$12.12	$12.12	$14.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.16 / $13.16 / $13.16	Facility		$13.16	$13.16	$13.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.16 / $13.16 / $13.56	Professional		$13.16	$13.16	$13.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.54 / $14.76 / $18.00	Facility		$10.54	$14.76	$18.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.54 / $24.43	Professional		$10.54	$10.54	$24.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $10.54 / $13.85	Facility		$9.94	$10.54	$13.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.54 / $11.44	Professional		$10.54	$10.54	$11.44
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $12.12 / $12.12 / $15.33	Professional		$12.12	$12.12	$15.33
United Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.54 / $13.49	Professional		$10.54	$10.54	$13.49