Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $28.18 / $100.00	Facility		$10.72	$28.18	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.88 / $25.70	Professional		$8.91	$12.88	$25.70
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $11.48 / $16.98 / $60.26	Professional	CQ	$11.48	$16.98	$60.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.23 / $10.23	Professional		$10.23	$10.23	$10.23
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $11.48 / $11.48 / $11.48	Professional	CQ	$11.48	$11.48	$11.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $25.70	Facility		$13.49	$13.49	$25.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.13 / $22.39	Professional		$10.00	$14.13	$22.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $16.98 / $19.05	Facility		$13.49	$16.98	$19.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.22 / $19.05	Professional		$14.13	$16.22	$19.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $72.44 / $89.13	Facility		$15.85	$72.44	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $16.22 / $30.90	Professional		$10.72	$16.22	$30.90
United Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $15.14 / $16.22	Facility		$11.48	$15.14	$16.22
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $14.79 / $20.42	Professional		$12.30	$14.79	$20.42