Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.53 / $15.78 / $39.82	Facility		$9.53	$15.78	$39.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.65 / $18.41 / $38.06	Professional		$10.65	$18.41	$38.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.43 / $19.43 / $19.43	Professional		$19.43	$19.43	$19.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $8,584.00 / $11,253.00	Facility		$3,013.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.97 / $20.98 / $32.81	Professional		$12.97	$20.98	$32.81
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $19.45 / $31.47 / $49.21	Professional	50	$19.45	$31.47	$49.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.18 / $14.53 / $18.17	Facility		$10.18	$14.53	$18.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.38 / $14.64 / $27.34	Professional		$10.38	$14.64	$27.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.10 / $19.10 / $39.21	Facility		$19.10	$19.10	$39.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.19 / $34.08 / $70.00	Professional		$15.19	$34.08	$70.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $23.08 / $32.34	Professional		$14.25	$23.08	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $3,176.00	Facility		$50.00	$668.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $18.19 / $32.74 / $51.61	Professional		$18.19	$32.74	$51.61