Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.29 / $5.30 / $125.87	Facility		$5.29	$5.30	$125.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.29 / $5.30 / $7.60	Professional		$5.29	$5.30	$7.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.29 / $5.29 / $5.29	Professional		$5.29	$5.29	$5.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.00 / $6.25 / $7.50	Facility		$6.00	$6.25	$7.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.30 / $5.30 / $6.75	Professional		$5.30	$5.30	$6.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.29 / $5.83 / $8.48	Facility		$5.29	$5.83	$8.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.30 / $5.57 / $7.69	Professional		$5.30	$5.57	$7.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.30 / $85.00 / $85.00	Facility		$5.30	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.63 / $5.30 / $7.32	Professional		$1.63	$5.30	$7.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.14 / $5.30 / $6.68	Professional		$5.14	$5.30	$6.68
United Facility/Professional Professional Modifier Low / Median / High Price $5.30 / $5.46 / $5.90	Professional		$5.30	$5.46	$5.90