Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.92 / $26.10 / $183.04	Facility		$8.92	$26.10	$183.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.34 / $21.61 / $21.87	Professional		$19.34	$21.61	$21.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $30.23 / $30.23	Professional		$30.23	$30.23	$30.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.05 / $21.76 / $25.41	Facility		$15.05	$21.76	$25.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.44 / $11.94 / $23.96	Professional		$11.44	$11.94	$23.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.18 / $33.85 / $39.90	Facility		$24.18	$33.85	$39.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.87 / $31.43 / $48.36	Professional		$25.87	$31.43	$48.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.72 / $18.80 / $43.85	Facility		$15.72	$18.80	$43.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.22 / $28.08 / $154.25	Professional		$12.22	$28.08	$154.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.30 / $13.30 / $13.30	Professional		$13.30	$13.30	$13.30
United Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $19.75 / $33.79	Professional		$10.16	$19.75	$33.79