Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.65 / $41.11 / $112.34	Facility		$12.65	$41.11	$112.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.60 / $14.17 / $14.74	Professional		$12.60	$14.17	$14.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $20.32 / $20.32	Professional		$20.32	$20.32	$20.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.11 / $14.63 / $17.09	Facility		$10.11	$14.63	$17.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.69 / $8.02 / $16.11	Professional		$7.69	$8.02	$16.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.26 / $22.76 / $26.83	Facility		$16.26	$22.76	$26.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $21.14 / $32.52	Professional		$17.39	$21.14	$32.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.57 / $12.65 / $29.48	Facility		$10.57	$12.65	$29.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.26 / $18.59 / $102.83	Professional		$8.26	$18.59	$102.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $8.94 / $8.94	Professional		$8.94	$8.94	$8.94
United Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $13.63 / $22.72	Professional		$6.83	$13.63	$22.72