Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.22 / $113.49 / $222.64	Facility		$17.22	$113.49	$222.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.34 / $15.22 / $21.21	Professional		$14.34	$15.22	$21.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $10.61 / $26.51	Professional		$10.61	$10.61	$26.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.20 / $19.09 / $22.29	Facility		$13.20	$19.09	$22.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.79 / $8.48 / $16.30	Professional		$7.79	$8.48	$16.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.21 / $25.45 / $29.95	Facility		$21.21	$25.45	$29.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.21 / $25.66 / $42.42	Professional		$21.21	$25.66	$42.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.79 / $16.50 / $29.85	Facility		$13.79	$16.50	$29.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.74 / $24.15 / $104.67	Professional		$9.74	$24.15	$104.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.67 / $11.67 / $11.67	Professional		$11.67	$11.67	$11.67
United Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $13.80 / $28.29	Professional		$8.91	$13.80	$28.29