Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.25 / $110.59 / $245.29	Facility		$13.25	$110.59	$245.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.06 / $14.63 / $16.77	Professional		$14.06	$14.63	$16.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.96 / $20.96 / $20.96	Professional		$20.96	$20.96	$20.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.44 / $15.09 / $17.63	Facility		$10.44	$15.09	$17.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $8.27 / $16.62	Professional		$7.94	$8.27	$16.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.77 / $20.12 / $23.60	Facility		$16.77	$20.12	$23.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.77 / $20.30 / $33.54	Professional		$16.77	$20.30	$33.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.90 / $13.05 / $30.43	Facility		$10.90	$13.05	$30.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.59 / $19.41 / $106.51	Professional		$8.59	$19.41	$106.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.22 / $9.22 / $9.22	Professional		$9.22	$9.22	$9.22
United Facility/Professional Facility Modifier Low / Median / High Price $16.77 / $16.77 / $16.77	Facility		$16.77	$16.77	$16.77
United Facility/Professional Professional Modifier Low / Median / High Price $7.04 / $14.06 / $23.44	Professional		$7.04	$14.06	$23.44