Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $69.18 / $100.00	Professional		$67.61	$69.18	$100.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $151.36	Professional		$114.82	$114.82	$151.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Facility		$13.18	$13.18	$13.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $147.91	Facility		$89.13	$89.13	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $89.13 / $117.49	Professional		$10.47	$89.13	$117.49
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $11.22 / $107.15	Facility		$7.76	$11.22	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $69.18 / $138.04	Professional		$4.79	$69.18	$138.04