Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.70 / $128.47 / $242.64	Facility		$21.70	$128.47	$242.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.76 / $14.39 / $20.07	Professional		$11.76	$14.39	$20.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.36 / $8.40 / $8.40	Professional		$3.36	$8.40	$8.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.46 / $15.12 / $17.66	Facility		$10.46	$15.12	$17.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.95 / $10.79 / $16.64	Professional		$7.95	$10.79	$16.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.80 / $20.16 / $23.60	Facility		$16.80	$20.16	$23.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $20.32 / $33.60	Professional		$16.80	$20.32	$33.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.92 / $12.82 / $28.29	Facility		$10.92	$12.82	$28.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.59 / $19.41 / $106.51	Professional		$8.59	$19.41	$106.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.24 / $9.24 / $9.24	Professional		$9.24	$9.24	$9.24
United Facility/Professional Professional Modifier Low / Median / High Price $7.06 / $14.08 / $21.68	Professional		$7.06	$14.08	$21.68