Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.03 / $221.83 / $306.82	Facility		$36.03	$221.83	$306.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.25 / $30.78 / $39.26	Professional		$30.25	$30.78	$39.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.63 / $19.63 / $49.08	Professional		$19.63	$19.63	$49.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.44 / $35.33 / $41.26	Facility		$24.44	$35.33	$41.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $22.45 / $35.54	Professional		$16.05	$22.45	$35.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.26 / $47.11 / $54.96	Facility		$39.26	$47.11	$54.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.26 / $47.51 / $78.52	Professional		$39.26	$47.51	$78.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.52 / $29.96 / $61.56	Facility		$25.52	$29.96	$61.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $42.59 / $295.64	Professional		$18.00	$42.59	$295.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.59 / $21.59 / $21.59	Professional		$21.59	$21.59	$21.59
United Facility/Professional Professional Modifier Low / Median / High Price $15.70 / $28.46 / $47.43	Professional		$15.70	$28.46	$47.43