Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.66 / $35.81 / $62.47	Facility		$25.66	$35.81	$62.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.91 / $35.72 / $62.99	Professional		$23.91	$35.72	$62.99
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $41.27 / $50.00 / $144.00	Professional	25	$41.27	$50.00	$144.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.76 / $15.92 / $19.23	Professional	52	$11.76	$15.92	$19.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.79 / $44.69 / $45.57	Professional		$29.79	$44.69	$45.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.41 / $36.95 / $44.47	Professional		$31.41	$36.95	$44.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.84 / $31.77 / $39.74	Facility		$24.84	$31.77	$39.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.52 / $40.31 / $53.98	Professional		$32.52	$40.31	$53.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.77 / $35.77 / $35.77	Facility		$35.77	$35.77	$35.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.36 / $34.82 / $54.77	Professional		$27.36	$34.82	$54.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.99 / $32.34 / $38.56	Professional		$31.99	$32.34	$38.56
United Facility/Professional Professional Modifier Low / Median / High Price $30.73 / $42.53 / $73.47	Professional		$30.73	$42.53	$73.47