Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.00 / $135.84 / $362.68	Facility		$16.00	$135.84	$362.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.01 / $16.59 / $22.30	Professional		$13.01	$16.59	$22.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $9.28 / $23.23	Professional		$3.72	$9.28	$23.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.57 / $16.72 / $19.53	Facility		$11.57	$16.72	$19.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.78 / $12.14 / $21.67	Professional		$8.78	$12.14	$21.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.57 / $22.30 / $26.01	Facility		$18.57	$22.30	$26.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.57 / $22.48 / $37.15	Professional		$18.57	$22.48	$37.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.08 / $14.18 / $33.70	Facility		$12.08	$14.18	$33.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.41 / $21.06 / $121.19	Professional		$9.41	$21.06	$121.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.22 / $10.22 / $10.22	Professional		$10.22	$10.22	$10.22
United Facility/Professional Professional Modifier Low / Median / High Price $7.80 / $15.58 / $25.31	Professional		$7.80	$15.58	$25.31