Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Professional		$19.05	$19.05	$19.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $8.32 / $10.96	Professional		$8.32	$8.32	$10.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $4.90 / $10.96	Professional		$4.90	$4.90	$10.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $25.12 / $29.51	Facility		$21.88	$25.12	$29.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $22.91 / $29.51	Professional		$20.89	$22.91	$29.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $114.82 / $114.82	Professional		$10.96	$114.82	$114.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $44.67	Professional		$30.20	$30.20	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $11.22 / $23.44	Professional		$10.00	$11.22	$23.44