Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $10.96	Facility		$10.96	$10.96	$10.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $14.13	Professional		$10.96	$10.96	$14.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $14.13 / $14.13	Facility		$13.49	$14.13	$14.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $12.59	Professional		$11.75	$11.75	$12.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $19.05	Facility		$11.75	$11.75	$19.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $12.59 / $16.60	Professional		$11.75	$12.59	$16.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $85.11 / $85.11	Facility		$11.75	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $50.12	Professional		$11.75	$11.75	$50.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $16.60	Professional		$16.60	$16.60	$16.60
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $36.31 / $125.89	Professional		$28.18	$36.31	$125.89