Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.66 / $14.66 / $14.66	Facility		$14.66	$14.66	$14.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.66 / $14.66 / $23.62	Professional		$14.66	$14.66	$23.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.50 / $18.75 / $18.75	Professional		$14.50	$18.75	$18.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $126.00 / $126.00 / $149.32	Facility		$126.00	$126.00	$149.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.84 / $19.80 / $26.67	Professional		$15.84	$19.80	$26.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.67 / $13.96 / $47.27	Facility		$9.67	$13.96	$47.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.67 / $14.50 / $48.35	Professional		$9.67	$14.50	$48.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.38 / $8.38 / $22.22	Professional		$8.38	$8.38	$22.22
United Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $23.15	Professional		$15.00	$15.00	$23.15