Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.64 / $89.36 / $299.05	Facility		$17.64	$89.36	$299.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.19 / $19.47 / $22.34	Professional		$19.19	$19.47	$22.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.93 / $27.93 / $27.93	Professional		$27.93	$27.93	$27.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.60 / $15.42 / $18.98	Facility		$9.60	$15.42	$18.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $25.90 / $55.60	Professional		$11.04	$25.90	$55.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.34 / $26.81 / $35.74	Facility		$22.34	$26.81	$35.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.34 / $26.81 / $44.68	Professional		$22.34	$26.81	$44.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.52 / $17.38 / $53.25	Facility		$14.52	$17.38	$53.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.76 / $28.56 / $143.22	Professional		$20.76	$28.56	$143.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.29 / $32.34 / $32.34	Professional		$12.29	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $9.38 / $18.73 / $35.79	Professional		$9.38	$18.73	$35.79