Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $97.72 / $263.03	Facility		$14.79	$97.72	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $11.75 / $21.38	Professional		$9.55	$11.75	$21.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $9.55 / $26.30	Professional		$6.76	$9.55	$26.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $13.49 / $14.45	Facility		$11.48	$13.49	$14.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $19.05	Professional		$6.76	$6.76	$19.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $16.22 / $19.05	Facility		$13.49	$16.22	$19.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $16.22 / $22.39	Professional		$13.49	$16.22	$22.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $24.55 / $24.55	Facility		$8.91	$24.55	$24.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $91.20 / $91.20	Professional		$8.13	$91.20	$91.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $7.59 / $7.59	Professional		$7.59	$7.59	$7.59
United Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $11.48 / $19.05	Professional		$5.75	$11.48	$19.05