Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.71 / $89.45 / $288.44	Facility		$20.71	$89.45	$288.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $22.47 / $22.87	Professional		$20.72	$22.47	$22.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.59 / $31.59 / $31.59	Professional		$31.59	$31.59	$31.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.73 / $22.74 / $26.56	Facility		$15.73	$22.74	$26.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.96 / $12.48 / $25.04	Professional		$11.96	$12.48	$25.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.27 / $30.32 / $35.40	Facility		$25.27	$30.32	$35.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $30.58 / $50.54	Professional		$25.27	$30.58	$50.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.43 / $19.66 / $45.83	Facility		$16.43	$19.66	$45.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $28.91 / $161.60	Professional		$12.88	$28.91	$161.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.90 / $13.90 / $13.90	Professional		$13.90	$13.90	$13.90
United Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $21.19 / $32.69	Professional		$10.61	$21.19	$32.69