Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $74.13 / $147.91	Facility		$14.79	$74.13	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $14.79 / $19.95	Professional		$12.59	$14.79	$19.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.23 / $21.38	Professional		$10.23	$10.23	$21.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $16.98 / $17.78	Facility		$14.45	$16.98	$17.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $8.32 / $23.44	Professional		$8.32	$8.32	$23.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $20.42 / $23.99	Facility		$16.98	$20.42	$23.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $20.42 / $28.18	Professional		$16.98	$20.42	$28.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $36.31 / $36.31	Facility		$10.96	$36.31	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $112.20 / $112.20	Professional		$10.23	$112.20	$112.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $9.33 / $9.33	Professional		$9.33	$9.33	$9.33
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $14.13 / $23.99	Professional		$7.08	$14.13	$23.99