Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $21.38 / $208.93	Facility		$8.13	$21.38	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.00 / $23.44	Professional		$7.94	$10.00	$23.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $7.41 / $10.47	Professional		$7.41	$7.41	$10.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $19.50	Facility		$14.13	$14.13	$19.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $20.42 / $20.42	Professional		$14.13	$20.42	$20.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Facility		$12.88	$12.88	$12.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $12.30	Professional		$8.13	$8.13	$12.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $16.60 / $33.11	Facility		$9.77	$16.60	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $10.47 / $17.38	Professional		$7.41	$10.47	$17.38
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Professional		$12.02	$12.02	$12.02
United Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $11.22 / $12.30	Facility		$8.13	$11.22	$12.30
United Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $7.41 / $20.42	Professional		$5.25	$7.41	$20.42