Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $144.54 / $281.84	Facility		$22.39	$144.54	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $21.88 / $32.36	Professional		$19.05	$21.88	$32.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $16.22 / $40.74	Professional		$13.49	$16.22	$40.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $26.92 / $28.84	Facility		$22.91	$26.92	$28.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $20.89	Professional		$13.18	$13.18	$20.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $32.36 / $38.02	Facility		$26.92	$32.36	$38.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $32.36 / $44.67	Professional		$26.92	$32.36	$44.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $48.98 / $48.98	Facility		$17.78	$48.98	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $131.83 / $131.83	Professional		$13.49	$131.83	$131.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $16.60 / $36.31	Professional		$11.48	$16.60	$36.31