Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $140.69 / $337.27	Facility		$22.91	$140.69	$337.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $24.96 / $33.42	Professional		$19.55	$24.96	$33.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.59 / $13.97 / $34.93	Professional		$5.59	$13.97	$34.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.39 / $25.15 / $29.36	Facility		$17.39	$25.15	$29.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $13.80 / $27.94	Professional		$13.22	$13.80	$27.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.94 / $33.53 / $39.11	Facility		$27.94	$33.53	$39.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.94 / $33.79 / $55.88	Professional		$27.94	$33.79	$55.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.16 / $21.74 / $50.67	Facility		$18.16	$21.74	$50.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.20 / $31.80 / $179.94	Professional		$14.20	$31.80	$179.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.37 / $15.37 / $15.37	Professional		$15.37	$15.37	$15.37
United Facility/Professional Professional Modifier Low / Median / High Price $11.73 / $23.42 / $39.04	Professional		$11.73	$23.42	$39.04