Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $27.54 / $69.18	Facility		$19.05	$27.54	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $18.20 / $51.29	Professional		$15.49	$18.20	$51.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $22.39 / $39.81	Facility		$15.14	$22.39	$39.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $15.14 / $15.14	Professional		$14.45	$15.14	$15.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $30.20 / $56.23	Facility		$19.95	$30.20	$56.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $26.30 / $26.92	Professional		$20.89	$26.30	$26.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $24.55 / $79.43	Professional		$12.59	$24.55	$79.43
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $26.92 / $77.62	Facility		$19.05	$26.92	$77.62
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $23.99 / $38.90	Professional		$16.22	$23.99	$38.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $15.49 / $28.18	Professional		$10.23	$15.49	$28.18
United Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $19.95 / $23.99	Facility		$18.20	$19.95	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $16.60 / $27.54	Professional		$8.51	$16.60	$27.54