Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $45.71 / $194.98	Facility		$14.13	$45.71	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.13 / $25.12	Professional		$12.02	$14.13	$25.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Professional		$15.49	$15.49	$15.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $18.20 / $19.05	Facility		$15.49	$18.20	$19.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $25.12	Professional		$8.91	$8.91	$25.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $21.88 / $25.12	Facility		$18.20	$21.88	$25.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $21.88 / $29.51	Professional		$18.20	$21.88	$29.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $33.11 / $33.11	Facility		$11.75	$33.11	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $120.23 / $120.23	Professional		$10.72	$120.23	$120.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $15.14 / $25.12	Professional		$7.59	$15.14	$25.12