Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.25 / $43.00 / $80.00	Facility		$32.25	$43.00	$80.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.31 / $39.86 / $80.65	Professional		$30.31	$39.86	$80.65
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $55.21 / $69.69 / $81.43	Professional	25	$55.21	$69.69	$81.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.49 / $59.14 / $63.69	Professional		$45.49	$59.14	$63.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.19 / $36.70 / $54.32	Professional		$31.19	$36.70	$54.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.49 / $58.41 / $72.78	Facility		$45.49	$58.41	$72.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.49 / $56.86 / $73.95	Professional		$45.49	$56.86	$73.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.14 / $56.54 / $56.54	Facility		$35.14	$56.54	$56.54
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $5.48 / $5.48 / $5.48	Facility	AS	$5.48	$5.48	$5.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.77 / $50.57 / $92.61	Professional		$35.77	$50.57	$92.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.89 / $32.34 / $59.14	Professional		$25.89	$32.34	$59.14
United Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $44.23 / $62.85	Professional		$34.04	$44.23	$62.85