Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $15.14 / $36.31	Facility		$12.88	$15.14	$36.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.00 / $29.51	Professional		$7.08	$10.00	$29.51
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $18.62 / $18.62 / $18.62	Professional	25	$18.62	$18.62	$18.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $18.62 / $20.89	Professional		$6.31	$18.62	$20.89
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $22.91 / $22.91 / $22.91	Professional	25	$22.91	$22.91	$22.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $20.42 / $28.18	Facility		$14.79	$20.42	$28.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $20.42 / $26.30	Professional		$14.79	$20.42	$26.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $32.36 / $32.36	Facility		$8.91	$32.36	$32.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $14.45 / $97.72	Professional		$8.51	$14.45	$97.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $32.36 / $33.11	Professional		$5.75	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $9.55 / $17.38	Professional		$7.59	$9.55	$17.38