Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.19 / $16.54 / $83.34	Facility		$14.19	$16.54	$83.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.13 / $20.19 / $33.19	Professional		$13.13	$20.19	$33.19
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $23.02 / $23.02 / $23.02	Professional	25	$23.02	$23.02	$23.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.99 / $16.77 / $18.05	Professional		$11.99	$16.77	$18.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.63 / $17.70 / $30.36	Professional		$14.63	$17.70	$30.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.90 / $15.48 / $20.64	Facility		$12.90	$15.48	$20.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.90 / $15.48 / $22.24	Professional		$12.90	$15.48	$22.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.46 / $25.46 / $31.28	Facility		$25.46	$25.46	$31.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.80 / $26.50 / $44.77	Professional		$15.80	$26.50	$44.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $32.34 / $32.34	Professional		$18.05	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $15.07 / $21.29 / $33.25	Professional		$15.07	$21.29	$33.25