Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.56 / $13.35 / $36.09	Facility		$9.56	$13.35	$36.09
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $29.58 / $29.58 / $29.58	Facility	25	$29.58	$29.58	$29.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.88 / $13.38 / $23.79	Professional		$9.88	$13.38	$23.79
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $13.59 / $20.48 / $50.00	Professional	25	$13.59	$20.48	$50.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.20 / $14.56 / $18.45	Professional		$11.20	$14.56	$18.45
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $15.42 / $17.52 / $18.45	Professional	25	$15.42	$17.52	$18.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.86 / $13.76 / $18.88	Professional		$10.86	$13.76	$18.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.91 / $13.45 / $17.46	Facility		$10.91	$13.45	$17.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.38 / $21.09	Professional		$12.88	$15.38	$21.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.71 / $15.71 / $15.71	Facility		$15.71	$15.71	$15.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $15.46 / $25.85	Professional		$11.22	$15.46	$25.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.62 / $17.13 / $32.34	Professional		$7.62	$17.13	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $12.42 / $15.52 / $24.71	Professional		$12.42	$15.52	$24.71