Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.87 / $195.41 / $417.27	Facility		$20.87	$195.41	$417.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.06 / $66.54 / $88.72	Professional		$23.06	$66.54	$88.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.81 / $31.81 / $31.81	Professional		$31.81	$31.81	$31.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.84 / $22.91 / $26.75	Facility		$15.84	$22.91	$26.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.27 / $12.57 / $25.21	Professional		$11.27	$12.57	$25.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.45 / $30.54 / $35.86	Facility		$25.45	$30.54	$35.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.45 / $30.80 / $50.90	Professional		$25.45	$30.80	$50.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.54 / $19.80 / $60.64	Facility		$16.54	$19.80	$60.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $28.63 / $152.41	Professional		$12.88	$28.63	$152.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $14.00 / $14.00	Professional		$14.00	$14.00	$14.00
United Facility/Professional Facility Modifier Low / Median / High Price $25.45 / $25.45 / $25.45	Facility		$25.45	$25.45	$25.45
United Facility/Professional Professional Modifier Low / Median / High Price $10.18 / $20.12 / $35.54	Professional		$10.18	$20.12	$35.54