Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $19.95 / $104.71	Facility		$8.91	$19.95	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $12.88 / $26.92	Professional		$8.51	$12.88	$26.92
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $37.15 / $52.48 / $60.26	Professional	CQ	$37.15	$52.48	$60.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.23 / $10.23	Professional		$10.23	$10.23	$10.23
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $10.00 / $10.00 / $11.48	Professional	CQ	$10.00	$10.00	$11.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $19.95	Facility		$13.49	$13.49	$19.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $11.22 / $23.99	Professional		$8.51	$11.22	$23.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $16.22 / $20.42	Facility		$12.59	$16.22	$20.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $16.22 / $19.50	Professional		$13.49	$16.22	$19.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $75.86	Facility		$23.44	$23.44	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $21.38 / $79.43	Professional		$9.12	$21.38	$79.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $32.36 / $33.11	Professional		$11.75	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $14.45 / $20.42	Professional		$11.75	$14.45	$20.42