Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $19.05	Facility		$12.88	$12.88	$19.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $16.98 / $22.91	Professional		$10.96	$16.98	$22.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $5.01	Professional		$5.01	$5.01	$5.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.79 / $19.95	Professional		$14.45	$14.79	$19.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $37.15 / $44.67	Facility		$22.39	$37.15	$44.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $35.48 / $47.86	Professional		$29.51	$35.48	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $31.62 / $46.77	Facility		$5.89	$31.62	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $85.11 / $144.54	Professional		$16.22	$85.11	$144.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $28.18	Professional		$22.39	$22.39	$28.18
United Facility/Professional Facility Modifier Low / Median / High Price $1.12 / $9.33 / $16.60	Facility		$1.12	$9.33	$16.60
United Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $14.45 / $20.89	Professional		$8.71	$14.45	$20.89