Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $89.13 / $158.49	Facility		$21.88	$89.13	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.50 / $25.70	Professional		$15.14	$19.50	$25.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $13.18 / $52.48	Professional		$9.33	$13.18	$52.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $21.88 / $22.91	Facility		$18.62	$21.88	$22.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $30.20	Professional		$10.72	$10.72	$30.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $26.30 / $30.20	Facility		$21.88	$26.30	$30.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $26.30 / $35.48	Professional		$21.88	$26.30	$35.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $39.81 / $39.81	Facility		$14.13	$39.81	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $128.82 / $128.82	Professional		$13.18	$128.82	$128.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Professional		$12.02	$12.02	$12.02
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $18.20 / $30.20	Professional		$9.12	$18.20	$30.20