Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.52 / $24.62 / $461.95	Facility		$9.52	$24.62	$461.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $10.50 / $31.50	Professional		$10.09	$10.50	$31.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.06 / $15.06 / $15.06	Professional		$15.06	$15.06	$15.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.45 / $10.85 / $12.66	Facility		$4.45	$10.85	$12.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.95 / $12.05 / $32.40	Professional		$5.95	$12.05	$32.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.05 / $14.46 / $19.88	Facility		$12.05	$14.46	$19.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $15.06 / $24.10	Professional		$12.05	$15.06	$24.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.83 / $9.38 / $50.00	Facility		$7.83	$9.38	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.55 / $17.68 / $85.69	Professional		$13.55	$17.68	$85.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.63 / $32.34 / $32.34	Professional		$6.63	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $4.38 / $5.42 / $16.84	Professional		$4.38	$5.42	$16.84