Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $17.38 / $20.89	Professional		$10.96	$17.38	$20.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $31.62 / $31.62	Professional		$21.38	$31.62	$31.62
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 $19.50 / $22.39 / $28.84	Professional		$19.50	$22.39	$28.84
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $23.44 / $28.84	Professional		$19.95	$23.44	$28.84
United Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $22.39	Facility		$15.49	$15.49	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $11.22 / $22.39	Professional		$9.33	$11.22	$22.39