Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.26 / $6.85 / $89.52	Facility		$4.26	$6.85	$89.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $8.13 / $29.00	Professional		$4.29	$8.13	$29.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $34.71 / $34.71 / $34.71	Professional	25	$34.71	$34.71	$34.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.58 / $5.07 / $5.57	Professional		$3.58	$5.07	$5.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $120.00 / $120.00	Facility		$120.00	$120.00	$120.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.58 / $4.65 / $6.00	Professional		$3.58	$4.65	$6.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.99 / $3.98 / $5.57	Facility		$2.99	$3.98	$5.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.28 / $4.40 / $5.82	Professional		$3.28	$4.40	$5.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.22 / $5.22 / $5.22	Facility		$5.22	$5.22	$5.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $4.78 / $10.31	Professional		$3.00	$4.78	$10.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $3.86 / $32.34	Professional		$2.29	$3.86	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $4.24 / $6.16 / $9.46	Professional		$4.24	$6.16	$9.46