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 $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.48 / $40.40 / $40.40	Professional		$27.48	$40.40	$40.40
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 $22.49 / $27.26 / $34.07	Professional		$22.49	$27.26	$34.07
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $57.50 / $57.50 / $57.50	Professional		$57.50	$57.50	$57.50
United Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $13.73 / $27.85	Professional		$10.16	$13.73	$27.85