Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.14 / $14.14 / $20.90	Facility		$14.14	$14.14	$20.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.78 / $17.30 / $20.90	Professional		$10.78	$17.30	$20.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $24.50 / $24.50	Professional		$24.50	$24.50	$24.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.34 / $23.13 / $24.25	Professional		$17.34	$23.13	$24.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.24 / $24.69 / $47.78	Facility		$3.24	$24.69	$47.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $31.30 / $51.82	Professional		$3.31	$31.30	$51.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.16 / $21.16 / $37.74	Facility		$21.16	$21.16	$37.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $21.16 / $27.24	Professional		$17.98	$21.16	$27.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.34 / $23.12 / $100.00	Professional		$17.34	$23.12	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.66 / $17.22 / $24.42	Professional		$10.66	$17.22	$24.42