Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $20.42	Professional		$9.12	$9.12	$20.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $28.84	Facility		$21.38	$21.38	$28.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $20.42 / $20.42	Professional		$12.02	$20.42	$20.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Facility		$22.39	$22.39	$22.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.80 / $20.42	Professional		$13.49	$13.80	$20.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.07 / $1.07 / $1.07	Facility		$1.07	$1.07	$1.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.50 / $28.84	Professional		$15.85	$19.50	$28.84
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Professional		$23.44	$23.44	$23.44
United Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $15.85	Facility		$15.49	$15.49	$15.85
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $10.23 / $15.85	Professional		$7.24	$10.23	$15.85