Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $48.98 / $158.49	Facility		$19.95	$48.98	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $22.39 / $23.99	Professional		$19.05	$22.39	$23.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Professional		$15.49	$15.49	$15.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $25.70 / $26.92	Facility		$21.88	$25.70	$26.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $35.48	Professional		$12.59	$12.59	$35.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $30.90 / $35.48	Facility		$25.70	$30.90	$35.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $31.62 / $51.29	Professional		$25.70	$31.62	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $46.77 / $60.26	Facility		$16.60	$46.77	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $169.82 / $169.82	Professional		$15.14	$169.82	$169.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Professional		$14.13	$14.13	$14.13
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $21.38 / $35.48	Professional		$10.72	$21.38	$35.48