Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $19.95 / $112.20	Facility		$10.96	$19.95	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $10.96 / $22.39	Professional		$9.33	$10.96	$22.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $12.30	Professional		$10.00	$10.00	$12.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $14.45 / $15.14	Facility		$12.30	$14.45	$15.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $19.95	Professional		$7.08	$7.08	$19.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $17.38 / $19.95	Facility		$14.45	$17.38	$19.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $17.78 / $28.84	Professional		$14.45	$17.78	$28.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $30.90 / $36.31	Facility		$9.33	$30.90	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $95.50 / $95.50	Professional		$8.51	$95.50	$95.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $7.94	Professional		$7.94	$7.94	$7.94
United Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $12.02 / $19.95	Professional		$6.03	$12.02	$19.95