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 $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00
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 $16.93 / $21.17 / $28.66	Professional		$16.93	$21.17	$28.66
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $28.75 / $28.75 / $28.75	Professional		$28.75	$28.75	$28.75
United Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $11.31 / $22.95	Professional		$10.16	$11.31	$22.95