Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.10 / $125.23 / $257.54	Facility		$17.10	$125.23	$257.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.60 / $18.05 / $25.03	Professional		$14.60	$18.05	$25.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $10.43 / $26.08	Professional		$4.17	$10.43	$26.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.99 / $18.77 / $21.92	Facility		$12.99	$18.77	$21.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.06 / $10.30 / $20.68	Professional		$9.06	$10.30	$20.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.86 / $25.03 / $29.20	Facility		$20.86	$25.03	$29.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.86 / $25.25 / $41.72	Professional		$20.86	$25.25	$41.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.56 / $16.23 / $37.84	Facility		$13.56	$16.23	$37.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.57 / $23.95 / $124.85	Professional		$10.57	$23.95	$124.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.47 / $11.47 / $11.47	Professional		$11.47	$11.47	$11.47
United Facility/Professional Professional Modifier Low / Median / High Price $8.76 / $17.03 / $29.15	Professional		$8.76	$17.03	$29.15