Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.31 / $8.51 / $363.08	Facility		$3.31	$8.51	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.82 / $74.13	Professional		$2.00	$2.82	$74.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $2.75 / $3.80	Professional		$2.57	$2.75	$3.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.02 / $3.02	Facility		$3.02	$3.02	$3.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $3.02	Professional		$3.02	$3.02	$3.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.31 / $4.57	Facility		$3.02	$3.31	$4.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.16 / $7.08	Professional		$3.02	$3.16	$7.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $2.75 / $2.75	Facility		$2.63	$2.75	$2.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.75 / $3.02	Professional		$2.75	$2.75	$3.02
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $4.37 / $4.37	Professional		$4.37	$4.37	$4.37
United Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.75 / $5.37	Professional		$2.75	$2.75	$5.37