Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.43 / $85.04 / $281.85	Facility		$17.43	$85.04	$281.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.95 / $18.98 / $19.28	Professional		$15.95	$18.98	$19.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.77 / $14.77 / $14.77	Professional		$14.77	$14.77	$14.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.23 / $19.13 / $22.34	Facility		$13.23	$19.13	$22.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.06 / $10.50 / $21.07	Professional		$10.06	$10.50	$21.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.26 / $25.51 / $29.95	Facility		$21.26	$25.51	$29.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.26 / $25.73 / $42.52	Professional		$21.26	$25.73	$42.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.82 / $16.54 / $38.54	Facility		$13.82	$16.54	$38.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.73 / $24.26 / $135.87	Professional		$10.73	$24.26	$135.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.69 / $11.69 / $11.69	Professional		$11.69	$11.69	$11.69
United Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $17.36 / $29.70	Professional		$8.50	$17.36	$29.70