Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.95 / $52.48	Professional		$15.14	$19.95	$52.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $17.78 / $25.12	Professional		$16.22	$17.78	$25.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $25.70 / $104.71	Professional		$16.22	$25.70	$104.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $21.38 / $25.70	Facility		$16.98	$21.38	$25.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $19.05 / $25.70	Professional		$17.78	$19.05	$25.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $30.20 / $30.20	Facility		$15.49	$30.20	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $26.92 / $316.23	Professional		$15.49	$26.92	$316.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $25.12 / $33.11	Professional		$15.14	$25.12	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $18.20 / $45.71	Professional		$13.49	$18.20	$45.71