Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.72 / $30.16 / $30.92	Facility		$28.72	$30.16	$30.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $26.54 / $30.92	Professional		$25.77	$26.54	$30.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.93 / $23.93 / $29.63	Professional		$23.93	$23.93	$29.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.18 / $21.18 / $21.18	Facility		$21.18	$21.18	$21.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.18 / $21.18 / $23.60	Professional		$21.18	$21.18	$23.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.93 / $32.31 / $36.08	Facility		$23.93	$32.31	$36.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.93 / $25.77 / $59.75	Professional		$23.93	$25.77	$59.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.23 / $25.77 / $25.77	Facility		$20.23	$25.77	$25.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.29 / $25.77 / $25.77	Professional		$24.29	$25.77	$25.77
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $30.27 / $30.27 / $30.27	Professional		$30.27	$30.27	$30.27
United Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $27.32 / $32.99	Professional		$25.77	$27.32	$32.99