Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.84 / $56.54 / $269.77	Facility		$22.84	$56.54	$269.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.07 / $25.57 / $32.29	Professional		$24.07	$25.57	$32.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $36.69 / $36.69	Professional		$36.69	$36.69	$36.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.60 / $15.42 / $24.94	Facility		$9.60	$15.42	$24.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.58 / $14.49 / $26.58	Professional		$13.58	$14.49	$26.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.35 / $35.22 / $46.96	Facility		$29.35	$35.22	$46.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.13 / $35.22 / $58.70	Professional		$23.13	$35.22	$58.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.07 / $22.40 / $69.95	Facility		$19.07	$22.40	$69.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.23 / $35.22 / $176.27	Professional		$24.23	$35.22	$176.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $32.34 / $32.34	Professional		$16.14	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $24.60 / $41.00	Professional		$12.33	$24.60	$41.00