Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $114.82 / $223.87	Facility		$14.79	$114.82	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $15.14 / $19.50	Professional		$12.59	$15.14	$19.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $11.75 / $17.78	Professional		$10.72	$11.75	$17.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $17.78 / $18.62	Facility		$14.79	$17.78	$18.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $8.32 / $17.78	Professional		$8.32	$8.32	$17.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $21.38 / $25.12	Facility		$17.78	$21.38	$25.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $21.38 / $29.51	Professional		$17.78	$21.38	$29.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $30.90 / $30.90	Facility		$11.75	$30.90	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $109.65 / $109.65	Professional		$10.00	$109.65	$109.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $9.77	Professional		$9.77	$9.77	$9.77
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $14.13 / $23.44	Professional		$7.59	$14.13	$23.44