Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.48 / $22.99 / $41.39	Facility		$17.48	$22.99	$41.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $33.99 / $51.16	Professional		$16.00	$33.99	$51.16
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $128.00 / $128.00 / $128.00	Professional	25	$128.00	$128.00	$128.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.31 / $48.33 / $60.47	Professional		$40.31	$48.33	$60.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.08 / $15.08 / $24.13	Facility		$15.08	$15.08	$24.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $24.43 / $52.65	Professional		$18.14	$24.43	$52.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.76 / $20.95 / $25.14	Facility		$16.76	$20.95	$25.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.61 / $46.70 / $60.85	Professional		$40.61	$46.70	$60.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.99 / $24.21 / $24.21	Facility		$22.99	$24.21	$24.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.82 / $39.88 / $61.27	Professional		$26.82	$39.88	$61.27
United Facility/Professional Professional Modifier Low / Median / High Price $36.36 / $43.67 / $60.52	Professional		$36.36	$43.67	$60.52