Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $15.00 / $15.00	Facility		$15.00	$15.00	$15.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.28 / $15.00 / $28.97	Professional		$13.28	$15.00	$28.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.75 / $22.64 / $22.64	Professional		$16.75	$22.64	$22.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.80 / $13.75 / $17.86	Professional		$10.80	$13.75	$17.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.02 / $17.02 / $27.06	Facility		$17.02	$17.02	$27.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $31.57 / $37.59	Professional		$17.02	$31.57	$37.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $16.20 / $44.48	Professional		$10.00	$16.20	$44.48
United Facility/Professional Professional Modifier Low / Median / High Price $28.53 / $35.01 / $58.92	Professional		$28.53	$35.01	$58.92