Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $89.13 / $588.84	Facility		$9.55	$89.13	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.72 / $12.02	Professional		$8.91	$10.72	$12.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $7.41	Professional		$6.03	$6.03	$7.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $12.02 / $12.59	Facility		$10.00	$12.02	$12.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $8.32	Professional		$4.79	$4.79	$8.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $14.45 / $16.98	Facility		$12.02	$14.45	$16.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.45 / $19.95	Professional		$12.02	$14.45	$19.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $28.84 / $28.84	Facility		$7.94	$28.84	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $58.88 / $58.88	Professional		$13.18	$58.88	$58.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $6.61 / $6.61	Professional		$6.61	$6.61	$6.61
United Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $7.24 / $12.02	Professional		$5.13	$7.24	$12.02