Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $27.54 / $173.78	Facility		$16.60	$27.54	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $17.78 / $19.95	Professional		$15.14	$17.78	$19.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Professional		$12.02	$12.02	$12.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $20.42 / $21.38	Facility		$17.38	$20.42	$21.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $28.18	Professional		$10.00	$10.00	$28.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $24.55 / $28.18	Facility		$20.42	$24.55	$28.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.12 / $40.74	Professional		$20.42	$25.12	$40.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $36.31 / $47.86	Facility		$13.18	$36.31	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $134.90 / $134.90	Professional		$12.02	$134.90	$134.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $11.22	Professional		$11.22	$11.22	$11.22
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $16.98 / $28.18	Professional		$8.51	$16.98	$28.18