Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $102.33 / $223.87	Facility		$25.70	$102.33	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $21.88 / $23.99	Professional		$18.20	$21.88	$23.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.14 / $15.14	Professional		$12.88	$15.14	$15.14
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 / $30.90 / $41.69	Professional		$25.70	$30.90	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $45.71 / $45.71	Facility		$16.60	$45.71	$45.71
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