Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.98 / $156.94 / $691.78	Facility		$13.98	$156.94	$691.78
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $5.99 / $6.99 / $21.95	Facility	52	$5.99	$6.99	$21.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.98 / $37.90 / $155.19	Professional		$11.98	$37.90	$155.19
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $5.99 / $16.46 / $21.95	Professional	52	$5.99	$16.46	$21.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.98 / $12.79 / $15.27	Professional		$6.98	$12.79	$15.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.92 / $21.94 / $33.72	Professional		$7.92	$21.94	$33.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.91 / $13.64 / $17.61	Facility		$10.91	$13.64	$17.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.27 / $36.69 / $48.75	Professional		$15.27	$36.69	$48.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.09 / $19.09 / $19.09	Facility		$19.09	$19.09	$19.09
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $15.27 / $15.27 / $15.27	Facility	52	$15.27	$15.27	$15.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $37.00 / $70.22	Professional		$13.54	$37.00	$70.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.96 / $32.34 / $41.47	Professional		$9.96	$32.34	$41.47
United Facility/Professional Professional Modifier Low / Median / High Price $36.47 / $48.66 / $69.45	Professional		$36.47	$48.66	$69.45