Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Facility		$20.00	$20.00	$20.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $362.56 / $362.56 / $362.56	Professional		$362.56	$362.56	$362.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.80 / $55.80 / $107.69	Facility		$55.80	$55.80	$107.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $55.80 / $73.65	Professional		$40.00	$55.80	$73.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.48 / $54.05 / $62.46	Facility		$17.48	$54.05	$62.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.66 / $117.89 / $117.89	Professional		$73.66	$117.89	$117.89