Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $47.86	Facility		$10.96	$10.96	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $11.75 / $28.18	Professional		$8.91	$11.75	$28.18
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $9.77 / $28.18 / $46.77	Professional	CQ	$9.77	$28.18	$46.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.72 / $18.62	Professional		$10.00	$10.72	$18.62
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $7.76 / $7.76 / $10.96	Professional	CQ	$7.76	$7.76	$10.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $22.39 / $29.51	Facility		$15.85	$22.39	$29.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $14.13 / $14.13	Professional		$13.49	$14.13	$14.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $18.20 / $26.92	Facility		$15.14	$18.20	$26.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $16.22	Professional		$14.13	$14.13	$16.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $64.57	Facility		$53.70	$53.70	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $14.13 / $27.54	Professional		$11.22	$14.13	$27.54
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $15.14 / $44.67	Facility		$10.96	$15.14	$44.67
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $13.49 / $23.99	Professional		$9.55	$13.49	$23.99
Health Alliance Plan Facility/Professional Professional Modifier CQ Low / Median / High Price $9.77 / $28.18 / $32.36	Professional	CQ	$9.77	$28.18	$32.36
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $13.18 / $26.92	Professional		$11.22	$13.18	$26.92
United Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $14.45 / $15.85	Facility		$12.59	$14.45	$15.85
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $14.79 / $17.78	Professional		$12.88	$14.79	$17.78