Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $19.00 / $77.00	Facility		$19.00	$19.00	$77.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.13 / $19.57 / $272.85	Professional		$16.13	$19.57	$272.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.50 / $57.50 / $57.50	Professional		$57.50	$57.50	$57.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.45 / $21.43 / $28.05	Professional		$16.45	$21.43	$28.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.57 / $18.68 / $37.63	Facility		$18.57	$18.68	$37.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.68 / $18.68 / $57.11	Professional		$18.68	$18.68	$57.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.68 / $54.68 / $54.68	Facility		$54.68	$54.68	$54.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $27.54 / $229.19	Professional		$21.00	$27.54	$229.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.60 / $25.40 / $45.00	Professional		$18.60	$25.40	$45.00
United Facility/Professional Professional Modifier Low / Median / High Price $41.86 / $57.02 / $99.00	Professional		$41.86	$57.02	$99.00