Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $83.18 / $138.04	Facility		$9.77	$83.18	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $8.32 / $12.88	Professional		$6.76	$8.32	$12.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $6.76 / $14.45	Professional		$4.79	$6.76	$14.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $9.77 / $10.23	Facility		$8.32	$9.77	$10.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $7.24 / $13.49	Professional		$6.17	$7.24	$13.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $11.75 / $13.49	Facility		$9.77	$11.75	$13.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $11.75 / $15.85	Professional		$9.77	$11.75	$15.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $17.78 / $17.78	Facility		$6.31	$17.78	$17.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $63.10 / $63.10	Professional		$5.75	$63.10	$63.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $5.37 / $5.37	Professional		$5.37	$5.37	$5.37
United Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $8.13 / $13.49	Professional		$4.07	$8.13	$13.49