Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.14 / $26.80 / $43.00	Professional		$19.14	$26.80	$43.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.78 / $24.78 / $50.03	Professional		$24.78	$24.78	$50.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.89 / $22.89 / $27.46	Facility		$21.89	$22.89	$27.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $14.25 / $21.89	Professional		$14.25	$14.25	$21.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.62 / $29.79 / $42.66	Professional		$11.62	$29.79	$42.66
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $28.50 / $28.50 / $57.53	Professional		$28.50	$28.50	$57.53
United Facility/Professional Professional Modifier Low / Median / High Price $14.30 / $21.46 / $30.53	Professional		$14.30	$21.46	$30.53