Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.14 / $267.75 / $760.16	Facility		$0.14	$267.75	$760.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.14	Professional		$0.11	$0.11	$0.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $12.00 / $12.00	Professional		$12.00	$12.00	$12.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.13 / $0.13 / $0.13	Facility		$0.13	$0.13	$0.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.13 / $0.13	Professional		$0.12	$0.13	$0.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.15 / $0.15	Facility		$0.15	$0.15	$0.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.11 / $0.17	Facility		$0.11	$0.11	$0.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.11	Professional		$0.11	$0.11	$0.11
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Professional		$13.80	$13.80	$13.80
United Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.20	Professional		$0.11	$0.11	$0.20