Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.69 / $171.36 / $1,555.02	Facility		$14.69	$171.36	$1,555.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.63 / $78.15 / $146.34	Professional		$15.63	$78.15	$146.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.97 / $8.97 / $22.41	Professional		$8.97	$8.97	$22.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.16 / $16.14 / $18.84	Facility		$11.16	$16.14	$18.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.30 / $8.86 / $17.77	Professional		$8.30	$8.86	$17.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.93 / $21.52 / $25.10	Facility		$17.93	$21.52	$25.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.93 / $21.69 / $35.86	Professional		$17.93	$21.69	$35.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.65 / $13.95 / $42.73	Facility		$11.65	$13.95	$42.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.08 / $20.65 / $115.68	Professional		$9.08	$20.65	$115.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $9.86 / $9.86	Professional		$9.86	$9.86	$9.86
United Facility/Professional Professional Modifier Low / Median / High Price $7.53 / $14.65 / $25.06	Professional		$7.53	$14.65	$25.06