Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.92 / $19.57 / $28.00	Professional		$15.92	$19.57	$28.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $18.10 / $23.71	Professional		$17.64	$18.10	$23.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $14.54 / $16.88	Professional		$12.58	$14.54	$16.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.70 / $20.87 / $29.67	Facility		$16.70	$20.87	$29.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.17 / $23.71 / $33.39	Professional		$22.17	$23.71	$33.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.52 / $36.52 / $36.52	Facility		$36.52	$36.52	$36.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.19 / $60.00 / $104.57	Professional		$22.19	$60.00	$104.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.43 / $17.31 / $19.23	Professional		$14.43	$17.31	$19.23
United Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $22.11 / $27.74	Professional		$19.82	$22.11	$27.74