Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.00 / $13.00 / $13.00	Facility		$13.00	$13.00	$13.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.50 / $13.00 / $15.31	Professional		$12.50	$13.00	$15.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.39 / $20.39 / $20.39	Professional		$20.39	$20.39	$20.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.01 / $26.07 / $29.13	Facility		$23.01	$26.07	$29.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.95 / $25.00 / $33.68	Professional		$11.95	$25.00	$33.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.87 / $34.96 / $57.53	Facility		$21.87	$34.96	$57.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.39 / $30.20 / $37.76	Professional		$21.39	$30.20	$37.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.22 / $22.22 / $22.22	Facility		$22.22	$22.22	$22.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $22.22 / $33.00	Professional		$16.22	$22.22	$33.00
United Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $14.24 / $20.53	Professional		$9.50	$14.24	$20.53