Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.05 / $0.05	Facility		$0.02	$0.05	$0.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $123.00 / $169.00	Professional		$51.00	$123.00	$169.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $5.89 / $5.89	Professional		$5.89	$5.89	$5.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.48 / $6.48 / $12.51	Facility		$6.48	$6.48	$12.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.48 / $7.12 / $12.65	Professional		$6.48	$7.12	$12.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.07 / $23.17 / $33.11	Facility		$22.07	$23.17	$33.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.35 / $22.07 / $26.48	Professional		$14.35	$22.07	$26.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.06 / $27.26 / $34.07	Professional		$11.06	$27.26	$34.07
United Facility/Professional Professional Modifier Low / Median / High Price $9.24 / $13.45 / $20.55	Professional		$9.24	$13.45	$20.55