Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.96 / $73.36 / $163.05	Facility		$13.96	$73.36	$163.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.62 / $14.85 / $28.96	Professional		$13.62	$14.85	$28.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.03 / $17.03 / $21.29	Professional		$17.03	$17.03	$21.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.60 / $15.33 / $17.89	Facility		$10.60	$15.33	$17.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.06 / $8.41 / $15.42	Professional		$8.06	$8.41	$15.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.03 / $20.44 / $24.05	Facility		$17.03	$20.44	$24.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.03 / $20.60 / $34.06	Professional		$17.03	$20.60	$34.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.07 / $13.00 / $36.19	Facility		$11.07	$13.00	$36.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.59 / $15.00 / $108.34	Professional		$8.59	$15.00	$108.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $9.36 / $9.36	Professional		$9.36	$9.36	$9.36
United Facility/Professional Professional Modifier Low / Median / High Price $6.81 / $14.28 / $23.80	Professional		$6.81	$14.28	$23.80