Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Facility		$30.00	$30.00	$30.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $30.00 / $31.21	Professional		$24.00	$30.00	$31.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $47.55 / $47.55	Professional		$47.55	$47.55	$47.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.04 / $38.04 / $38.04	Facility		$38.04	$38.04	$38.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $40.00 / $41.29	Professional		$30.00	$40.00	$41.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.04 / $53.26 / $62.77	Facility		$38.04	$53.26	$62.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.68 / $47.55 / $58.58	Professional		$41.68	$47.55	$58.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.32 / $44.32 / $44.32	Facility		$44.32	$44.32	$44.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.68 / $14.68 / $82.93	Professional		$14.68	$14.68	$82.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
United Facility/Professional Professional Modifier Low / Median / High Price $14.77 / $22.16 / $31.39	Professional		$14.77	$22.16	$31.39