Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Facility		$25.00	$25.00	$25.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $12.00 / $12.00	Professional		$12.00	$12.00	$12.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $26.86 / $26.86	Professional		$22.00	$26.86	$26.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.88 / $23.76 / $23.76	Facility		$20.88	$23.76	$23.76
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 $7.65 / $7.65 / $68.25	Professional		$7.65	$7.65	$68.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $43.87 / $43.87 / $43.87	Professional		$43.87	$43.87	$43.87