Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.59 / $15.17 / $23.89	Facility		$8.59	$15.17	$23.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.80 / $15.16 / $23.90	Professional		$7.80	$15.16	$23.90
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 $3.90 / $5.74 / $8.85	Professional	52	$3.90	$5.74	$8.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.12 / $20.49 / $20.49	Professional		$16.12	$20.49	$20.49
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 $9.21 / $15.77 / $24.46	Professional		$9.21	$15.77	$24.46
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 / $20.45 / $34.36	Professional		$15.28	$20.45	$34.36