Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $15.14 / $40.74	Facility		$12.88	$15.14	$40.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.88 / $22.39	Professional		$10.00	$12.88	$22.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.14 / $21.38	Professional		$12.02	$15.14	$21.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $14.79 / $19.95	Professional		$13.49	$14.79	$19.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $15.49 / $21.88	Facility		$11.75	$15.49	$21.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.22 / $33.11	Professional		$14.13	$16.22	$33.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Facility		$17.38	$17.38	$17.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $17.38 / $26.30	Professional		$13.18	$17.38	$26.30
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $20.89 / $21.88	Professional		$19.50	$20.89	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $15.14 / $19.95	Professional		$11.75	$15.14	$19.95