Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.70 / $189.90 / $619.97	Facility		$22.70	$189.90	$619.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.57 / $8.94 / $12.10	Professional		$8.57	$8.94	$12.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.47 / $12.47 / $15.59	Professional		$12.47	$12.47	$15.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $11.22 / $13.11	Facility		$7.76	$11.22	$13.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.66 / $4.99 / $9.75	Professional		$4.66	$4.99	$9.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.47 / $14.96 / $17.70	Facility		$12.47	$14.96	$17.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.47 / $15.09 / $24.94	Professional		$12.47	$15.09	$24.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.11 / $9.69 / $17.85	Facility		$8.11	$9.69	$17.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.78 / $14.44 / $62.44	Professional		$5.78	$14.44	$62.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.86 / $6.86 / $6.86	Professional		$6.86	$6.86	$6.86
United Facility/Professional Professional Modifier Low / Median / High Price $5.24 / $8.25 / $16.23	Professional		$5.24	$8.25	$16.23