Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $11.48 / $44.67	Facility		$10.96	$11.48	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.02 / $23.99	Professional		$8.91	$12.02	$23.99
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $22.91 / $52.48 / $60.26	Professional	CQ	$22.91	$52.48	$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 $10.96 / $10.96 / $11.48	Professional	CQ	$10.96	$10.96	$11.48
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 / $29.51	Facility		$15.14	$18.20	$29.51
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 $11.75 / $15.14 / $31.62	Professional		$11.75	$15.14	$31.62
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $17.78 / $47.86	Facility		$10.96	$17.78	$47.86
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.45 / $25.12	Professional		$10.00	$14.45	$25.12
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 $12.02 / $14.13 / $30.20	Professional		$12.02	$14.13	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $14.79 / $16.22	Facility		$13.18	$14.79	$16.22
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.22 / $19.95	Professional		$12.88	$16.22	$19.95