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 $41.00 / $123.00 / $169.00	Professional		$41.00	$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 $4.18 / $4.18 / $8.07	Facility		$4.18	$4.18	$8.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.18 / $4.18 / $12.65	Professional		$4.18	$4.18	$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 / $23.95 / $29.94	Professional		$11.06	$23.95	$29.94
United Facility/Professional Professional Modifier Low / Median / High Price $9.24 / $12.91 / $23.94	Professional		$9.24	$12.91	$23.94