Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.55 / $116.20 / $330.74	Facility		$17.55	$116.20	$330.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.56 / $19.32 / $22.23	Professional		$15.56	$19.32	$22.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.45 / $11.12 / $27.79	Professional		$4.45	$11.12	$27.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.84 / $20.01 / $23.36	Facility		$13.84	$20.01	$23.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.52 / $10.98 / $22.04	Professional		$10.52	$10.98	$22.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.23 / $26.68 / $31.31	Facility		$22.23	$26.68	$31.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.23 / $26.90 / $44.46	Professional		$22.23	$26.90	$44.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $17.30 / $40.32	Facility		$14.45	$17.30	$40.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $25.61 / $143.22	Professional		$11.23	$25.61	$143.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.23 / $12.23 / $12.23	Professional		$12.23	$12.23	$12.23
United Facility/Professional Professional Modifier Low / Median / High Price $9.34 / $18.64 / $28.90	Professional		$9.34	$18.64	$28.90