Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $21.38 / $21.38	Facility		$18.62	$21.38	$21.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.26 / $20.35 / $28.97	Professional		$11.26	$20.35	$28.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.24 / $36.24 / $36.24	Facility		$36.24	$36.24	$36.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.95 / $20.82 / $24.17	Professional		$16.95	$20.82	$24.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.18 / $50.74 / $59.80	Facility		$27.18	$50.74	$59.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.24 / $47.11 / $66.89	Professional		$36.24	$47.11	$66.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.26 / $24.26 / $42.47	Facility		$24.26	$24.26	$42.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.71 / $24.26 / $174.68	Professional		$17.71	$24.26	$174.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.63 / $22.73 / $47.11	Professional		$18.63	$22.73	$47.11
United Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $18.07 / $27.86	Professional		$12.05	$18.07	$27.86