Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.14 / $27.13 / $36.17	Facility		$19.14	$27.13	$36.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.56 / $36.29 / $55.64	Professional		$23.56	$36.29	$55.64
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $85.57 / $85.57 / $85.57	Professional	25	$85.57	$85.57	$85.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.71 / $70.39 / $70.39	Professional		$37.71	$70.39	$70.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $5,000.00 / $5,000.00	Facility		$5,000.00	$5,000.00	$5,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.18 / $36.97 / $50.11	Professional		$26.18	$36.97	$50.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.05 / $40.07 / $56.10	Facility		$30.05	$40.07	$56.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.35 / $53.80 / $70.89	Professional		$40.35	$53.80	$70.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.70 / $57.70 / $57.70	Facility		$57.70	$57.70	$57.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.18 / $48.34 / $89.83	Professional		$31.18	$48.34	$89.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.39 / $32.34 / $53.05	Professional		$25.39	$32.34	$53.05
United Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $52.90 / $86.58	Professional		$39.46	$52.90	$86.58