Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Facility		$0.02	$0.02	$0.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Professional		$0.02	$0.02	$0.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.59 / $20.59 / $25.00	Professional		$20.59	$20.59	$25.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.58 / $31.73 / $31.73	Professional		$21.58	$31.73	$31.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.62 / $21.62 / $21.62	Facility		$21.62	$21.62	$21.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.38 / $13.38 / $20.59	Professional		$13.38	$13.38	$20.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.08 / $1.08 / $1.08	Facility		$1.08	$1.08	$1.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.41 / $22.49 / $24.26	Professional		$19.41	$22.49	$24.26
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $23.68 / $23.68 / $28.75	Professional		$23.68	$23.68	$28.75
United Facility/Professional Facility Modifier Low / Median / High Price $15.56 / $15.56 / $15.56	Facility		$15.56	$15.56	$15.56
United Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $11.12 / $22.57	Professional		$10.16	$11.12	$22.57