Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.86 / $58.88 / $93.42	Facility		$10.86	$58.88	$93.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.86 / $11.84 / $18.97	Professional		$10.86	$11.84	$18.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.65 / $2.65 / $6.62	Professional		$2.65	$2.65	$6.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.42 / $11.92 / $13.92	Facility		$5.42	$11.92	$13.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $4.67 / $7.94	Professional		$2.49	$4.67	$7.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.24 / $15.89 / $18.61	Facility		$13.24	$15.89	$18.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.24 / $16.02 / $26.48	Professional		$13.24	$16.02	$26.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.61 / $10.11 / $28.13	Facility		$8.61	$10.11	$28.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $10.05 / $63.82	Professional		$6.77	$10.05	$63.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.28 / $7.28 / $7.28	Professional		$7.28	$7.28	$7.28
United Facility/Professional Professional Modifier Low / Median / High Price $5.39 / $5.94 / $14.56	Professional		$5.39	$5.94	$14.56