Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.06 / $55.37 / $137.94	Facility		$15.06	$55.37	$137.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.32 / $17.29 / $33.74	Professional		$14.32	$17.29	$33.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.68 / $9.68 / $24.19	Professional		$9.68	$9.68	$24.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.05 / $17.42 / $20.34	Facility		$12.05	$17.42	$20.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.16 / $9.56 / $19.18	Professional		$9.16	$9.56	$19.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.35 / $23.22 / $27.23	Facility		$19.35	$23.22	$27.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.35 / $23.42 / $38.70	Professional		$19.35	$23.42	$38.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.58 / $15.06 / $41.11	Facility		$12.58	$15.06	$41.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.91 / $22.30 / $124.85	Professional		$9.91	$22.30	$124.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.64 / $10.64 / $10.64	Professional		$10.64	$10.64	$10.64
United Facility/Professional Facility Modifier Low / Median / High Price $19.35 / $19.35 / $19.35	Facility		$19.35	$19.35	$19.35
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $16.23 / $27.75	Professional		$8.13	$16.23	$27.75