Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.01 / $39.78 / $195.23	Facility		$20.01	$39.78	$195.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.74 / $24.20 / $24.63	Professional		$21.74	$24.20	$24.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.96 / $33.96 / $33.96	Professional		$33.96	$33.96	$33.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.91 / $24.45 / $28.56	Facility		$16.91	$24.45	$28.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.85 / $13.42 / $26.92	Professional		$12.85	$13.42	$26.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.17 / $32.60 / $38.13	Facility		$27.17	$32.60	$38.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.17 / $32.88 / $54.34	Professional		$27.17	$32.88	$54.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.66 / $21.14 / $49.27	Facility		$17.66	$21.14	$49.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.87 / $31.39 / $174.45	Professional		$13.87	$31.39	$174.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.94 / $14.94 / $14.94	Professional		$14.94	$14.94	$14.94
United Facility/Professional Professional Modifier Low / Median / High Price $11.41 / $22.77 / $37.95	Professional		$11.41	$22.77	$37.95