Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.21 / $14.66 / $40.00	Facility		$10.21	$14.66	$40.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.21 / $14.66 / $29.56	Professional		$10.21	$14.66	$29.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.35 / $6.35 / $15.00	Professional		$6.35	$6.35	$15.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $126.00 / $126.00 / $126.00	Facility		$126.00	$126.00	$126.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.85 / $19.80 / $34.78	Professional		$14.85	$19.80	$34.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.53 / $13.54 / $54.15	Facility		$13.53	$13.54	$54.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $14.89 / $54.15	Professional		$10.74	$14.89	$54.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.38 / $8.38 / $16.39	Professional		$8.38	$8.38	$16.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.61 / $45.00 / $100.00	Professional		$19.61	$45.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $15.00	Professional		$15.00	$15.00	$15.00