Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $134.90 / $263.03	Facility		$29.51	$134.90	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.70 / $47.86	Professional		$19.95	$25.70	$47.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $25.12 / $57.54	Professional		$14.45	$25.12	$57.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $29.51 / $30.90	Facility		$24.55	$29.51	$30.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $38.02	Professional		$16.60	$16.60	$38.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $35.48 / $41.69	Facility		$29.51	$35.48	$41.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $35.48 / $48.98	Professional		$29.51	$35.48	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $53.70 / $53.70	Facility		$19.05	$53.70	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $194.98 / $194.98	Professional		$17.78	$194.98	$194.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Professional		$16.22	$16.22	$16.22
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $22.91 / $41.69	Professional		$12.30	$22.91	$41.69