Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.59 / $8.59 / $16.70	Facility		$8.59	$8.59	$16.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.80 / $14.99 / $21.93	Professional		$7.80	$14.99	$21.93
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $0.30 / $12.53 / $12.53	Professional	25	$0.30	$12.53	$12.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.06 / $16.13 / $16.18	Professional		$12.06	$16.13	$16.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $12.57 / $17.32	Professional		$8.75	$12.57	$17.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.39 / $10.64 / $13.42	Facility		$8.39	$10.64	$13.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.76 / $19.70 / $25.22	Professional		$15.76	$19.70	$25.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.08 / $12.08 / $12.08	Facility		$12.08	$12.08	$12.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.23 / $15.77 / $24.93	Professional		$9.23	$15.77	$24.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.49 / $32.34 / $113.00	Professional		$20.49	$32.34	$113.00
United Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $20.07 / $34.65	Professional		$15.28	$20.07	$34.65