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 / $125.00 / $172.00	Professional		$51.00	$125.00	$172.00
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 $6.34 / $6.34 / $12.24	Facility		$6.34	$6.34	$12.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.34 / $6.34 / $12.71	Professional		$6.34	$6.34	$12.71
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 / $37.17 / $46.46	Professional		$11.06	$37.17	$46.46
United Facility/Professional Professional Modifier Low / Median / High Price $9.24 / $13.95 / $23.94	Professional		$9.24	$13.95	$23.94