Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $41.69 / $177.83	Facility		$16.22	$41.69	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $22.39 / $34.67	Professional		$12.59	$22.39	$34.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $21.38	Professional		$8.71	$8.71	$21.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $17.38 / $18.20	Facility		$14.45	$17.38	$18.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $12.02	Professional		$6.92	$6.92	$12.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $20.89 / $23.99	Facility		$17.38	$20.89	$23.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $20.89 / $28.18	Professional		$17.38	$20.89	$28.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $27.54 / $27.54	Facility		$11.22	$27.54	$27.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $83.18 / $83.18	Professional		$17.38	$83.18	$83.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $9.55 / $9.55	Professional		$9.55	$9.55	$9.55
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $10.47 / $17.38	Professional		$7.24	$10.47	$17.38