Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Facility		$24.55	$24.55	$24.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $22.91 / $30.20	Professional		$14.13	$22.91	$30.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $19.95	Professional		$12.59	$12.59	$19.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $40.74 / $40.74	Facility		$19.50	$40.74	$40.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $40.74	Professional		$19.50	$19.50	$40.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $51.29 / $58.88	Facility		$48.98	$51.29	$58.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $33.88 / $69.18	Facility		$10.23	$33.88	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $32.36	Professional		$21.38	$21.38	$32.36
United Facility/Professional Facility Modifier Low / Median / High Price $1.78 / $13.49 / $26.30	Facility		$1.78	$13.49	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $19.05 / $31.62	Professional		$11.22	$19.05	$31.62