Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $21.38 / $194.98	Facility		$12.59	$21.38	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $18.20	Professional		$10.00	$12.02	$18.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $7.76 / $7.76	Professional		$7.76	$7.76	$7.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $15.49 / $16.22	Facility		$12.88	$15.49	$16.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $7.59	Professional		$5.01	$5.01	$7.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $18.62 / $21.88	Facility		$15.49	$18.62	$21.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $19.50 / $30.90	Professional		$15.49	$19.50	$30.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $28.18 / $28.18	Facility		$10.00	$28.18	$28.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $102.33 / $102.33	Professional		$9.33	$102.33	$102.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.51 / $8.51	Professional		$8.51	$8.51	$8.51
United Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $6.46 / $20.42	Professional		$3.39	$6.46	$20.42