Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $25.12	Facility		$21.88	$21.88	$25.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $25.70 / $37.15	Professional		$14.13	$25.70	$37.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $21.88	Professional		$19.05	$19.05	$21.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $58.88 / $75.86	Facility		$47.86	$58.88	$75.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $53.70 / $69.18	Professional		$46.77	$53.70	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $33.88 / $208.93	Professional		$21.88	$33.88	$208.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $61.66	Professional		$25.70	$25.70	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $18.62	Professional		$15.14	$15.14	$18.62