Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $50.12 / $141.25	Facility		$24.55	$50.12	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $26.92 / $34.67	Professional		$25.12	$26.92	$34.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $52.48	Professional		$16.22	$16.22	$52.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $35.48 / $37.15	Facility		$29.51	$35.48	$37.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $27.54	Professional		$17.38	$17.38	$27.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $47.86 / $57.54	Facility		$35.48	$47.86	$57.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $45.71 / $56.23	Professional		$35.48	$45.71	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $67.61 / $67.61	Facility		$22.91	$67.61	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $56.23 / $169.82	Professional		$17.78	$56.23	$169.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Professional		$19.50	$19.50	$19.50
United Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Facility		$26.30	$26.30	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $29.51 / $50.12	Professional		$14.79	$29.51	$50.12