Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.22 / $16.80 / $26.40	Facility		$0.22	$16.80	$26.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.19 / $0.27	Professional		$0.19	$0.19	$0.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $29.00 / $29.00	Professional		$29.00	$29.00	$29.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.24 / $0.24 / $0.24	Facility		$0.24	$0.24	$0.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.24 / $0.24 / $0.27	Professional		$0.24	$0.24	$0.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.19 / $0.27 / $0.34	Facility		$0.19	$0.27	$0.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.19 / $0.43	Professional		$0.19	$0.19	$0.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.17 / $0.18 / $0.34	Facility		$0.17	$0.18	$0.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $0.18 / $0.24	Professional		$0.18	$0.18	$0.24
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $33.35 / $33.35 / $33.35	Professional		$33.35	$33.35	$33.35
United Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.19 / $0.24	Professional		$0.19	$0.19	$0.24