Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $95.50 / $281.84	Facility		$22.91	$95.50	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $25.12 / $28.18	Professional		$18.20	$25.12	$28.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.98 / $35.48	Professional		$14.13	$16.98	$35.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $28.18 / $29.51	Facility		$23.99	$28.18	$29.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $38.90	Professional		$13.80	$13.80	$38.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $33.88 / $38.90	Facility		$28.18	$33.88	$38.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.88 / $46.77	Professional		$28.18	$33.88	$46.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $51.29 / $63.10	Facility		$18.20	$51.29	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $186.21 / $186.21	Professional		$16.98	$186.21	$186.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Professional		$15.49	$15.49	$15.49
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $23.44 / $38.90	Professional		$11.75	$23.44	$38.90