Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.13 / $17.13 / $47.39	Facility		$17.13	$17.13	$47.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.13 / $19.55 / $25.60	Professional		$17.13	$19.55	$25.60
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $25.00 / $25.00 / $25.00	Professional	CQ	$25.00	$25.00	$25.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.33 / $14.33 / $19.16	Professional		$14.33	$14.33	$19.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.69 / $18.69 / $36.07	Facility		$18.69	$18.69	$36.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.43 / $17.82 / $25.17	Professional		$11.43	$17.82	$25.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.91 / $22.39 / $25.07	Facility		$17.91	$22.39	$25.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.91 / $21.49 / $25.27	Professional		$17.91	$21.49	$25.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.69 / $22.69 / $22.69	Facility		$22.69	$22.69	$22.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.66 / $22.15 / $31.87	Professional		$17.66	$22.15	$31.87
United Facility/Professional Professional Modifier Low / Median / High Price $16.17 / $20.39 / $27.64	Professional		$16.17	$20.39	$27.64