Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.22 / $6.49 / $7.45	Facility		$4.22	$6.49	$7.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.22 / $7.45 / $10.82	Professional		$4.22	$7.45	$10.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.63 / $12.63 / $12.63	Professional		$12.63	$12.63	$12.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.33 / $6.33 / $6.78	Professional		$6.33	$6.33	$6.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.47 / $17.68 / $20.84	Facility		$9.47	$17.68	$20.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $15.16 / $20.84	Professional		$12.00	$15.16	$20.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $7.59 / $14.80	Facility		$7.59	$7.59	$14.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.45 / $7.59 / $61.12	Professional		$6.45	$7.59	$61.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $9.03 / $16.42	Professional		$7.41	$9.03	$16.42
United Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $5.69 / $8.33	Professional		$4.13	$5.69	$8.33