Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.97 / $13.52 / $39.75	Facility		$5.97	$13.52	$39.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.52 / $33.40 / $73.53	Professional		$13.52	$33.40	$73.53
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 $39.85 / $50.38 / $51.36	Professional		$39.85	$50.38	$51.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $18.14 / $40.22	Professional		$18.00	$18.14	$40.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.80 / $21.85 / $26.90	Facility		$16.80	$21.85	$26.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.53 / $45.44 / $59.27	Professional		$23.53	$45.44	$59.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.21 / $24.21 / $24.21	Facility		$24.21	$24.21	$24.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.07 / $39.88 / $60.02	Professional		$21.07	$39.88	$60.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $51.36	Professional		$32.34	$32.34	$51.36
United Facility/Professional Professional Modifier Low / Median / High Price $35.46 / $45.49 / $69.70	Professional		$35.46	$45.49	$69.70