Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.73 / $9.26 / $17.37	Facility		$8.73	$9.26	$17.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.77 / $15.15 / $21.93	Professional		$7.77	$15.15	$21.93
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $0.30 / $0.30 / $17.54	Professional	25	$0.30	$0.30	$17.54
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $4.30 / $5.51 / $9.22	Professional	52	$4.30	$5.51	$9.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.70 / $16.12 / $21.44	Professional		$13.70	$16.12	$21.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.34 / $18.34 / $29.34	Facility		$18.34	$18.34	$29.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $13.10 / $19.98	Professional		$8.75	$13.10	$19.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.36 / $10.64 / $12.64	Facility		$8.36	$10.64	$12.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.12 / $19.34 / $24.18	Professional		$16.12	$19.34	$24.18
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 $11.68 / $15.77 / $21.62	Professional		$11.68	$15.77	$21.62
United Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $18.68 / $29.46	Professional		$15.28	$18.68	$29.46