Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $12.02 / $24.55	Facility		$10.96	$12.02	$24.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.14 / $32.36	Professional		$10.00	$15.14	$32.36
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $25.12 / $25.12 / $25.12	Professional	25	$25.12	$25.12	$25.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $15.49 / $30.20	Professional		$12.59	$15.49	$30.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $10.00 / $12.88	Professional		$8.51	$10.00	$12.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $14.13 / $19.50	Facility		$11.75	$14.13	$19.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $16.22 / $21.38	Professional		$13.18	$16.22	$21.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Facility		$19.50	$19.50	$19.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $19.05 / $70.79	Professional		$13.18	$19.05	$70.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $32.36 / $33.11	Professional		$8.91	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $14.79 / $22.39	Professional		$11.48	$14.79	$22.39