Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.42 / $4,772.47 / $9,544.87	Facility		$33.42	$4,772.47	$9,544.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $28.57 / $211.46	Professional		$27.86	$28.57	$211.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.79 / $32.79 / $32.79	Professional		$32.79	$32.79	$32.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.84 / $26.84 / $26.84	Facility		$26.84	$26.84	$26.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.77 / $26.84 / $26.84	Professional		$26.77	$26.84	$26.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.86 / $37.51 / $42.85	Facility		$27.86	$37.51	$42.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $27.86 / $64.59	Professional		$27.86	$27.86	$64.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.34 / $27.86 / $28.73	Facility		$22.34	$27.86	$28.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.80 / $27.86 / $27.86	Professional		$26.80	$27.86	$27.86
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $36.50 / $36.50 / $36.50	Professional		$36.50	$36.50	$36.50
United Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $28.70 / $35.65	Professional		$27.86	$28.70	$35.65