Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.35 / $29.24 / $30.11	Facility		$27.35	$29.24	$30.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.01 / $31.53 / $90.31	Professional		$27.01	$31.53	$90.31
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $50.51 / $50.51 / $50.51	Professional	25	$50.51	$50.51	$50.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.83 / $38.61 / $39.43	Professional		$32.83	$38.61	$39.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.73 / $25.46 / $31.79	Professional		$24.73	$25.46	$31.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.57 / $35.40 / $45.71	Facility		$28.57	$35.40	$45.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.71 / $37.14 / $45.75	Professional		$29.71	$37.14	$45.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.14 / $41.14 / $41.14	Facility		$41.14	$41.14	$41.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.57 / $28.57 / $46.50	Professional		$28.57	$28.57	$46.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $38.61	Professional		$32.34	$32.34	$38.61
United Facility/Professional Professional Modifier Low / Median / High Price $28.56 / $37.26 / $58.91	Professional		$28.56	$37.26	$58.91