Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $36.31 / $74.13	Facility		$27.54	$36.31	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.98 / $36.31	Professional		$12.88	$16.98	$36.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.59 / $41.69	Professional		$10.00	$12.59	$41.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $31.62	Facility		$22.91	$22.91	$31.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $30.20	Professional		$19.95	$19.95	$30.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $19.95 / $28.18	Facility		$16.22	$19.95	$28.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $19.95	Professional		$12.88	$12.88	$19.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $26.92 / $53.70	Facility		$15.85	$26.92	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $23.99 / $38.90	Professional		$12.02	$23.99	$38.90
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $22.91 / $47.86	Professional		$19.50	$22.91	$47.86
United Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $19.95	Facility		$18.20	$18.20	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $13.80 / $33.88	Professional		$8.51	$13.80	$33.88