Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $11.22 / $30.90	Facility		$10.96	$11.22	$30.90
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $30.20 / $41.69 / $97.72	Facility	CQ	$30.20	$41.69	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.96 / $26.92	Professional		$7.94	$10.96	$26.92
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $41.69 / $41.69 / $41.69	Professional	CO	$41.69	$41.69	$41.69
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $9.12 / $18.20 / $39.81	Professional	CQ	$9.12	$18.20	$39.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $10.47	Professional		$10.47	$10.47	$10.47
Ambetter Facility/Professional Professional Modifier CO Low / Median / High Price $10.96 / $10.96 / $10.96	Professional	CO	$10.96	$10.96	$10.96
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $11.22 / $11.22 / $11.22	Professional	CQ	$11.22	$11.22	$11.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $21.88 / $28.84	Facility		$15.49	$21.88	$28.84
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 $13.49 / $13.49 / $15.85	Professional		$13.49	$13.49	$15.85
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 $9.12 / $12.88 / $26.92	Professional		$9.12	$12.88	$26.92
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $11.48 / $35.48	Facility		$10.96	$11.48	$35.48
Health Alliance Plan Facility/Professional Facility Modifier CQ Low / Median / High Price $12.30 / $41.69 / $97.72	Facility	CQ	$12.30	$41.69	$97.72
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $12.02 / $21.88	Professional		$8.51	$12.02	$21.88
Health Alliance Plan Facility/Professional Professional Modifier CQ Low / Median / High Price $9.55 / $34.67 / $35.48	Professional	CQ	$9.55	$34.67	$35.48
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 $8.91 / $12.88 / $21.38	Professional		$8.91	$12.88	$21.38
United Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $14.45 / $15.85	Facility		$10.47	$14.45	$15.85
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.59 / $14.79	Professional		$10.96	$12.59	$14.79