Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.25 / $13.51 / $187.46	Facility		$9.25	$13.51	$187.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $12.26 / $18.91	Professional		$10.68	$12.26	$18.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.89 / $16.89 / $16.89	Professional		$16.89	$16.89	$16.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.42 / $12.17 / $14.21	Facility		$8.42	$12.17	$14.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.39 / $6.68 / $13.39	Professional		$6.39	$6.68	$13.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.52 / $16.22 / $19.05	Facility		$13.52	$16.22	$19.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.52 / $16.36 / $27.04	Professional		$13.52	$16.36	$27.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.78 / $10.52 / $28.73	Facility		$8.78	$10.52	$28.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.93 / $15.69 / $88.13	Professional		$6.93	$15.69	$88.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.44 / $7.44 / $7.44	Professional		$7.44	$7.44	$7.44
United Facility/Professional Facility Modifier Low / Median / High Price $13.52 / $13.52 / $13.52	Facility		$13.52	$13.52	$13.52
United Facility/Professional Professional Modifier Low / Median / High Price $5.41 / $11.03 / $18.88	Professional		$5.41	$11.03	$18.88