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 / $40.00	Professional		$20.59	$20.59	$40.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.01 / $39.72 / $39.72	Professional		$27.01	$39.72	$39.72
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 / $24.37 / $30.46	Professional		$22.49	$24.37	$30.46
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $23.68 / $23.68 / $46.00	Professional		$23.68	$23.68	$46.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $14.66 / $31.67	Professional		$10.16	$14.66	$31.67