Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $25.70 / $89.13	Facility		$15.85	$25.70	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.22 / $21.88	Professional		$14.13	$16.22	$21.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $18.62 / $19.50	Facility		$15.85	$18.62	$19.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $9.33 / $25.70	Professional		$9.33	$9.33	$25.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $22.39 / $26.30	Facility		$18.62	$22.39	$26.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $23.44 / $37.15	Professional		$18.62	$23.44	$37.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $35.48 / $35.48	Facility		$12.30	$35.48	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $125.89 / $125.89	Professional		$11.22	$125.89	$125.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.23 / $10.23	Professional		$10.23	$10.23	$10.23
United Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $15.85 / $26.30	Professional		$7.94	$15.85	$26.30