Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $95.50 / $263.03	Facility		$19.05	$95.50	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.50 / $24.55	Professional		$16.98	$19.50	$24.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $15.49 / $56.23	Professional		$11.22	$15.49	$56.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $15.85 / $16.60	Facility		$14.13	$15.85	$16.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $25.70 / $56.23	Professional		$10.96	$25.70	$56.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $26.92 / $31.62	Facility		$22.39	$26.92	$31.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $26.92 / $37.15	Professional		$22.39	$26.92	$37.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $53.70 / $53.70	Facility		$14.45	$53.70	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $56.23 / $147.91	Professional		$21.38	$56.23	$147.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $32.36 / $33.11	Professional		$12.30	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $18.62 / $37.15	Professional		$9.33	$18.62	$37.15