Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.70 / $21.14 / $41.00	Facility		$16.70	$21.14	$41.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $26.78 / $56.87	Professional		$18.64	$26.78	$56.87
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $96.00 / $96.00 / $96.00	Professional	25	$96.00	$96.00	$96.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $22.51 / $31.27	Professional		$17.02	$22.51	$31.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.00 / $126.00 / $130.00	Facility		$117.00	$126.00	$130.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.68 / $25.73 / $34.86	Professional		$19.68	$25.73	$34.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.92 / $23.89 / $33.45	Facility		$17.92	$23.89	$33.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.51 / $29.20 / $38.47	Professional		$22.51	$29.20	$38.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.81 / $41.81 / $41.81	Facility		$41.81	$41.81	$41.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $35.00 / $59.67	Professional		$19.00	$35.00	$59.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.33 / $20.47 / $32.34	Professional		$14.33	$20.47	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $23.36 / $39.00 / $55.86	Professional		$23.36	$39.00	$55.86