Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.33 / $24.94 / $123.38	Facility		$21.33	$24.94	$123.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.10 / $24.94 / $43.36	Professional		$20.10	$24.94	$43.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.60 / $24.35 / $27.15	Professional		$20.60	$24.35	$27.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.13 / $23.69 / $33.67	Professional		$20.13	$23.69	$33.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.39 / $23.27 / $31.02	Facility		$19.39	$23.27	$31.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.39 / $23.27 / $31.99	Professional		$19.39	$23.27	$31.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.94 / $23.94 / $30.12	Facility		$23.94	$23.94	$30.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $31.40 / $48.14	Professional		$19.95	$31.40	$48.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.21 / $32.34 / $32.34	Professional		$25.21	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $20.62 / $20.62 / $20.62	Facility		$20.62	$20.62	$20.62
United Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $27.85 / $42.01	Professional		$21.60	$27.85	$42.01