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 $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.52 / $28.70 / $28.70	Professional		$19.52	$28.70	$28.70
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 $21.48 / $22.49 / $28.66	Professional		$21.48	$22.49	$28.66
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $34.50 / $34.50 / $34.50	Professional		$34.50	$34.50	$34.50
United Facility/Professional Professional Modifier Low / Median / High Price $10.05 / $11.10 / $22.57	Professional		$10.05	$11.10	$22.57