Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.76 / $96.28 / $224.00	Facility		$9.76	$96.28	$224.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.34 / $8.01 / $9.94	Professional		$3.34	$8.01	$9.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.21 / $12.21 / $12.21	Professional		$12.21	$12.21	$12.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.08 / $8.78 / $10.27	Facility		$6.08	$8.78	$10.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.91 / $3.91 / $7.90	Professional		$3.91	$3.91	$7.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $11.72 / $13.68	Facility		$9.77	$11.72	$13.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $11.91 / $19.54	Professional		$9.77	$11.91	$19.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.35 / $7.45 / $14.26	Facility		$6.35	$7.45	$14.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $11.15 / $51.42	Professional		$4.46	$11.15	$51.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $47.17 / $47.17	Professional		$5.37	$47.17	$47.17
United Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $7.82 / $11.72	Professional		$4.09	$7.82	$11.72