Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.22 / $9.22 / $42.19	Facility		$9.22	$9.22	$42.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $6.04 / $9.42	Professional		$2.14	$6.04	$9.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.21 / $9.42 / $15.00	Professional		$6.21	$9.42	$15.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.25 / $4.25 / $8.19	Facility		$4.25	$4.25	$8.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.25 / $4.25 / $6.03	Professional		$4.25	$4.25	$6.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.76 / $13.99 / $16.14	Facility		$10.76	$13.99	$16.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $12.91 / $15.17	Professional		$10.76	$12.91	$15.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $5.08 / $11.62	Professional		$5.08	$5.08	$11.62
United Facility/Professional Professional Modifier Low / Median / High Price $3.04 / $5.36 / $7.38	Professional		$3.04	$5.36	$7.38