Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.25 / $15.25 / $26.99	Facility		$15.25	$15.25	$26.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.37 / $18.76 / $45.00	Professional		$13.37	$18.76	$45.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $23.02 / $25.40 / $25.40	Professional	25	$23.02	$25.40	$25.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.06 / $16.77 / $20.75	Professional		$12.06	$16.77	$20.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.45 / $24.45 / $47.19	Facility		$24.45	$24.45	$47.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $23.07 / $33.40	Professional		$15.04	$23.07	$33.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.97 / $16.77 / $19.46	Facility		$12.97	$16.77	$19.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.97 / $14.92 / $18.61	Professional		$12.97	$14.92	$18.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.46 / $25.46 / $39.36	Facility		$25.46	$25.46	$39.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.35 / $31.49 / $49.21	Professional		$15.35	$31.49	$49.21
United Facility/Professional Professional Modifier Low / Median / High Price $14.38 / $18.66 / $29.23	Professional		$14.38	$18.66	$29.23