Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.47 / $77.76 / $287.64	Facility		$8.47	$77.76	$287.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.75 / $8.94 / $9.81	Professional		$7.75	$8.94	$9.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.17 / $5.17 / $12.91	Professional		$5.17	$5.17	$12.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.43 / $9.30 / $10.86	Facility		$6.43	$9.30	$10.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.40 / $5.09 / $10.23	Professional		$4.40	$5.09	$10.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.33 / $12.40 / $14.53	Facility		$10.33	$12.40	$14.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.33 / $12.50 / $20.66	Professional		$10.33	$12.50	$20.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.71 / $8.03 / $17.39	Facility		$6.71	$8.03	$17.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.28 / $11.62 / $58.75	Professional		$5.28	$11.62	$58.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.68 / $5.68 / $5.68	Professional		$5.68	$5.68	$5.68
United Facility/Professional Professional Modifier Low / Median / High Price $4.34 / $8.00 / $14.43	Professional		$4.34	$8.00	$14.43