Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $66.07 / $199.53	Facility		$18.20	$66.07	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $25.70 / $33.11	Professional		$14.13	$25.70	$33.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $10.96 / $45.71	Professional		$9.12	$10.96	$45.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $18.20 / $19.05	Facility		$15.49	$18.20	$19.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $25.12	Professional		$8.91	$8.91	$25.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $21.88 / $25.12	Facility		$18.20	$21.88	$25.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $21.88 / $30.20	Professional		$18.20	$21.88	$30.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $38.90 / $38.90	Facility		$11.75	$38.90	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $91.20 / $91.20	Professional		$10.72	$91.20	$91.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $15.14 / $25.12	Professional		$7.59	$15.14	$25.12