Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $102.33 / $245.47	Facility		$17.38	$102.33	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.79 / $32.36	Professional		$12.02	$14.79	$32.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $17.38 / $39.81	Professional		$8.13	$17.38	$39.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $16.22 / $16.98	Facility		$13.80	$16.22	$16.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $22.39	Professional		$8.13	$8.13	$22.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $19.50 / $22.91	Facility		$16.22	$19.50	$22.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $19.50 / $26.92	Professional		$16.22	$19.50	$26.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $29.51 / $29.51	Facility		$10.72	$29.51	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $107.15 / $107.15	Professional		$9.77	$107.15	$107.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $8.91	Professional		$8.91	$8.91	$8.91
United Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $13.80 / $22.91	Professional		$6.92	$13.80	$22.91