Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $19.95 / $43.65	Facility		$5.75	$19.95	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $6.03 / $7.94	Professional		$3.98	$6.03	$7.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $4.68 / $6.61	Professional		$3.98	$4.68	$6.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $6.61 / $7.08	Facility		$5.50	$6.61	$7.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $3.31 / $6.31	Professional		$3.31	$3.31	$6.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $7.94 / $9.33	Facility		$6.61	$7.94	$9.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $7.94 / $10.96	Professional		$6.61	$7.94	$10.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $12.88 / $14.79	Facility		$4.37	$12.88	$14.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $39.81 / $39.81	Professional		$3.98	$39.81	$39.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $3.63	Professional		$3.63	$3.63	$3.63
United Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $3.98 / $7.94	Professional		$2.82	$3.98	$7.94