Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $19.00 / $20.23	Facility		$19.00	$19.00	$20.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.76 / $19.57 / $80.25	Professional		$15.76	$19.57	$80.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $35.00 / $35.00	Professional		$35.00	$35.00	$35.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.29 / $21.30 / $25.22	Professional		$16.29	$21.30	$25.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.71 / $22.41 / $22.41	Facility		$16.71	$22.41	$22.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.41 / $22.41 / $32.42	Professional		$22.41	$22.41	$32.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.77 / $38.77 / $38.77	Facility		$38.77	$38.77	$38.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $24.48 / $165.28	Professional		$19.00	$24.48	$165.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.43 / $19.72 / $45.00	Professional		$14.43	$19.72	$45.00
United Facility/Professional Professional Modifier Low / Median / High Price $30.02 / $40.00 / $71.04	Professional		$30.02	$40.00	$71.04