Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.19 / $22.18 / $37.35	Facility		$20.19	$22.18	$37.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.19 / $24.61 / $39.10	Professional		$20.19	$24.61	$39.10
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $26.97 / $41.24 / $94.80	Professional	25	$26.97	$41.24	$94.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.51 / $25.94 / $32.89	Professional		$21.51	$25.94	$32.89
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $24.15 / $32.89 / $35.42	Professional	25	$24.15	$32.89	$35.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.40 / $27.32 / $37.36	Professional		$22.40	$27.32	$37.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.03 / $28.54 / $36.85	Facility		$23.03	$28.54	$36.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.30 / $31.63 / $40.25	Professional		$25.30	$31.63	$40.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.15 / $33.15 / $33.15	Facility		$33.15	$33.15	$33.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.74 / $31.23 / $50.93	Professional		$22.74	$31.23	$50.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.83 / $32.34 / $32.89	Professional		$14.83	$32.34	$32.89
United Facility/Professional Professional Modifier Low / Median / High Price $23.67 / $29.56 / $48.20	Professional		$23.67	$29.56	$48.20