Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $24.55 / $165.96	Facility		$14.13	$24.55	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.13 / $18.62	Professional		$12.02	$14.13	$18.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $15.49 / $28.18	Professional		$10.47	$15.49	$28.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $18.20 / $19.05	Facility		$15.14	$18.20	$19.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $10.72 / $17.78	Professional		$8.13	$10.72	$17.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $21.88 / $25.12	Facility		$18.20	$21.88	$25.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.39 / $36.31	Professional		$18.20	$22.39	$36.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $50.12 / $50.12	Facility		$11.75	$50.12	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $87.10 / $87.10	Professional		$8.32	$87.10	$87.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $18.20 / $19.05	Professional		$10.47	$18.20	$19.05